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 $26.92 Median $27.54 Typical High $27.54 | Professional | None | $26.92 | $27.54 | $27.54 |
CareFirst Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $35.48 | Professional | None | $29.51 | $33.11 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $107.15 | Professional | None | $19.50 | $36.31 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $54.95 | Professional | None | $36.31 | $43.65 | $54.95 |
United Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $32.36 | Professional | None | $15.49 | $18.20 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
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 $13.49 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.49 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.50 | $5.62 |
Where Maryland sits
The same service costs 3.5 times more in California than in Nebraska. 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· 41st of 51
$29.51
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.