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 $64.57 Median $66.07 Typical High $70.79 | Professional | None | $64.57 | $66.07 | $70.79 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | None | $63.10 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $257.04 | Professional | None | $45.71 | $85.11 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $131.83 | Professional | None | $89.13 | $104.71 | $131.83 |
United Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $77.62 | Professional | None | $37.15 | $43.65 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None | $43.65 | $43.65 | $70.79 |
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 $32.36 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$64.57
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.