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 $21.38 Median $21.38 Typical High $23.44 | Professional | None | $21.38 | $21.38 | $23.44 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | None | $20.89 | $22.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $19.95 Typical High $37.15 | Facility | None | $15.14 | $19.95 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $28.84 Typical High $70.79 | Professional | None | $15.14 | $28.84 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $56.23 | Professional | None | $28.84 | $33.11 | $56.23 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $23.99 | Professional | None | $12.88 | $16.98 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $28.18 Typical High $28.18 | Professional | None | $11.22 | $28.18 | $28.18 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.37 | $4.37 |
Where Maryland sits
The same service costs 5.5 times more in Kansas 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· 50th of 51
$21.38
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.