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 Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $97.72 | Facility | None | $48.98 | $79.43 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | None | $48.98 | $48.98 | $53.70 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $190.55 | Professional | None | $32.36 | $46.77 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | None | $66.07 | $79.43 | $97.72 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $57.54 | Professional | None | $28.18 | $33.11 | $57.54 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $24.55 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.00 |
Where Maryland sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 47th of 51
$48.98
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.