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 $75.86 Median $77.62 Typical High $77.62 | Professional | None | $75.86 | $77.62 | $77.62 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | None | $74.13 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $131.83 | Facility | None | $54.95 | $72.44 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $251.19 | Professional | None | $54.95 | $97.72 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $199.53 | Professional | None | $102.33 | $117.49 | $199.53 |
United Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $87.10 | Professional | None | $46.77 | $60.26 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $100.00 Typical High $100.00 | Professional | None | $39.81 | $100.00 | $100.00 |
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 $38.02 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.49 | $15.49 |
Where Maryland sits
The same service costs 5.1 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· 49th of 51
$77.62
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.