How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $34.67 Median $35.48 Typical High $36.31 | Professional | None | $34.67 | $35.48 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $46.77 | Professional | None | $38.02 | $42.66 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $46.77 Typical High $154.88 | Professional | None | $25.12 | $46.77 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | None | $46.77 | $56.23 | $70.79 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $41.69 | Professional | None | $19.95 | $23.44 | $41.69 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
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 $17.38 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $6.92 | $7.08 | $7.24 |
Where Maryland sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 43rd 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.