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 $47.86 Median $48.98 Typical High $50.12 | Professional | None | $47.86 | $48.98 | $50.12 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | None | $46.77 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $190.55 | Professional | None | $33.88 | $57.54 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $97.72 | Professional | None | $66.07 | $77.62 | $97.72 |
United Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $57.54 | Professional | None | $25.12 | $32.36 | $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 $23.99 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $23.99 | $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· 46th 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.