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 $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
CareFirst Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $60.26 | Professional | None | $47.86 | $53.70 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $46.77 Typical High $87.10 | Facility | None | $35.48 | $46.77 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $165.96 | Professional | None | $35.48 | $64.57 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $131.83 | Professional | None | $67.61 | $77.62 | $131.83 |
United Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $56.23 | Professional | None | $30.20 | $39.81 | $56.23 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $66.07 Typical High $66.07 | Professional | None | $26.30 | $66.07 | $66.07 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Where Maryland sits
The same service costs 3.3 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
$50.12
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.