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 $10.72 Median $13.49 Typical High $18.20 | Facility | None | $10.72 | $13.49 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $12.88 | Professional | None | $7.94 | $10.72 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $13.18 | Professional | None | $10.47 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $19.05 | Facility | None | $7.76 | $10.23 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $36.31 | Professional | None | $7.76 | $14.45 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $28.18 | Professional | None | $14.45 | $16.98 | $28.18 |
United Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $12.59 | Professional | None | $6.61 | $8.51 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $14.45 | Professional | None | $5.75 | $14.45 | $14.45 |
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 $5.37 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.19 | $2.19 |
Where Maryland sits
The same service costs 15.1 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
$10.96
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.