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 Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $56.23 | Facility | None | $28.84 | $46.77 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $35.48 | Professional | None | $21.38 | $28.84 | $35.48 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $34.67 | Professional | None | $27.54 | $30.90 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $50.12 | Facility | None | $20.42 | $26.92 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $38.90 Typical High $95.50 | Professional | None | $20.42 | $38.90 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $74.13 | Professional | None | $38.90 | $44.67 | $74.13 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $32.36 | Professional | None | $17.38 | $22.91 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $38.02 Typical High $38.02 | Professional | None | $15.14 | $38.02 | $38.02 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Where Maryland sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 49th of 51
$28.84
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.