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 $28.84 Median $29.51 Typical High $30.20 | Professional | None | $28.84 | $29.51 | $30.20 |
CareFirst Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $38.90 | Professional | None | $31.62 | $35.48 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $39.81 Typical High $112.20 | Professional | None | $20.89 | $39.81 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $58.88 | Professional | None | $38.90 | $46.77 | $58.88 |
United Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $34.67 | Professional | None | $16.60 | $19.50 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $14.45 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.45 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $5.89 | $6.03 |
Where Maryland sits
The same service costs 6.6 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· 42nd of 51
$31.62
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.