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 $12.30 Median $19.95 Typical High $24.55 | Facility | None | $12.30 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $16.60 | Professional | None | $9.12 | $12.30 | $16.60 |
CareFirst Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $15.14 | Professional | None | $12.02 | $13.49 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $11.75 Typical High $21.88 | Facility | None | $8.91 | $11.75 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.60 Typical High $40.74 | Professional | None | $8.91 | $16.60 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $32.36 | Professional | None | $16.60 | $19.50 | $32.36 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $14.13 | Professional | None | $7.59 | $9.77 | $14.13 |
Wellpoint Setting Professional Modifier None Typical Low $6.61 Median $16.60 Typical High $16.60 | Professional | None | $6.61 | $16.60 | $16.60 |
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 $6.17 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.17 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.51 | $2.51 |
Where Maryland sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 51st of 51
$12.59
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.