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 $4.27 Median $6.92 Typical High $8.51 | Facility | None | $4.27 | $6.92 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $4.37 Typical High $7.59 | Professional | None | $3.16 | $4.37 | $7.59 |
CareFirst Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $6.92 | Professional | None | $4.17 | $4.57 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $4.07 Typical High $7.41 | Facility | None | $3.09 | $4.07 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.75 Typical High $14.45 | Professional | None | $3.09 | $5.75 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $11.22 | Professional | None | $5.75 | $6.61 | $11.22 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.39 Typical High $5.01 | Professional | None | $2.57 | $3.39 | $5.01 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
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 $2.14 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.87 | $0.87 |
Where Maryland sits
The same service costs 12.9 times more in Vermont 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· 46th of 51
$4.57
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.