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 $37.15 Median $38.02 Typical High $41.69 | Professional | None | $37.15 | $38.02 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $45.71 | Professional | None | $36.31 | $40.74 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $64.57 | Facility | None | $26.92 | $35.48 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $50.12 Typical High $123.03 | Professional | None | $26.92 | $50.12 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $97.72 | Professional | None | $50.12 | $57.54 | $97.72 |
United Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $42.66 | Professional | None | $22.91 | $29.51 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $48.98 Typical High $48.98 | Professional | None | $19.50 | $48.98 | $48.98 |
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 $18.62 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.41 | $7.59 | $7.59 |
Where Maryland sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 50th of 51
$38.02
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.