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 $15.49 Median $19.50 Typical High $26.30 | Facility | None | $15.49 | $19.50 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $21.88 | Professional | None | $11.48 | $15.49 | $21.88 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | None | $15.14 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $27.54 | Facility | None | $10.47 | $13.80 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $51.29 | Professional | None | $10.47 | $16.98 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $32.36 | Professional | None | $20.89 | $23.99 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $15.85 | Professional | None | $8.91 | $10.47 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $16.60 | Professional | None | $8.32 | $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 $7.76 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.16 | $3.16 |
Where Maryland sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 48th of 51
$15.85
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.