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 $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
CareFirst Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $57.54 | Professional | None | $47.86 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $169.82 | Professional | None | $30.90 | $56.23 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $87.10 | Professional | None | $58.88 | $70.79 | $87.10 |
United Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $51.29 | Professional | None | $24.55 | $29.51 | $51.29 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 $21.88 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.91 |
Where Maryland sits
The same service costs 3.4 times more in Alaska 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· 43rd of 51
$47.86
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.