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 $47.86 Typical High $58.88 | Professional | None | $47.86 | $47.86 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $54.95 | Professional | None | $45.71 | $51.29 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $186.21 | Professional | None | $30.20 | $50.12 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | None | $64.57 | $77.62 | $95.50 |
United Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | None | $26.92 | $31.62 | $56.23 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 $23.44 Median $23.99 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.75 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.75 |
Where Maryland sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 47th 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.