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 $36.31 Median $37.15 Typical High $41.69 | Professional | None | $36.31 | $37.15 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $141.25 | Professional | None | $26.30 | $40.74 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | None | $50.12 | $58.88 | $74.13 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $45.71 | Professional | None | $22.39 | $28.18 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
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 $18.20 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $18.20 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.51 |
Where Maryland sits
The same service costs 5.8 times more in Texas than in New Mexico. 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
$39.81
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.