How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $51.29 Median $52.48 Typical High $52.48 | Professional | None | $51.29 | $52.48 | $52.48 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $45.71 Typical High $89.13 | Facility | None | $37.15 | $45.71 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $169.82 | Professional | None | $37.15 | $69.18 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $104.71 | Professional | None | $69.18 | $79.43 | $104.71 |
United Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $58.88 | Professional | None | $29.51 | $34.67 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $104.71 | Professional | None | $26.92 | $26.92 | $104.71 |
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 $25.70 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $25.70 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.23 | $10.47 | $10.47 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 37th of 51
$56.23
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.