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 $4.79 Median $6.61 Typical High $9.55 | Facility | None | $4.79 | $6.61 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.90 Typical High $7.76 | Professional | None | $3.55 | $4.90 | $7.76 |
CareFirst Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $5.89 | Professional | None | $4.68 | $5.13 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $4.57 Typical High $8.32 | Facility | None | $3.47 | $4.57 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.46 Typical High $16.22 | Professional | None | $3.47 | $6.46 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $12.59 | Professional | None | $6.46 | $7.41 | $12.59 |
United Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $20.89 | Facility | None | $2.19 | $2.19 | $20.89 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.80 Typical High $5.37 | Professional | None | $2.95 | $3.80 | $5.37 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
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 $2.40 Median $2.45 Typical High $2.45 | Professional | 52 · Reduced service | $2.40 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.98 Typical High $0.98 | Professional | 53 · Discontinued | $0.95 | $0.98 | $0.98 |
Where Maryland sits
The same service costs 11.5 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
$4.90
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.