How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $66.07 | Professional | None | $57.54 | $64.57 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $54.95 Typical High $104.71 | Facility | None | $17.78 | $54.95 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $194.98 | Professional | None | $42.66 | $81.28 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $138.04 | Professional | None | $81.28 | $93.33 | $138.04 |
United Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $67.61 | Professional | None | $36.31 | $46.77 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $70.79 Typical High $70.79 | Professional | None | $31.62 | $70.79 | $70.79 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Maryland sits
The same service costs 4.6 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 48th of 51
$60.26
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.