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 $19.95 Median $19.95 Typical High $24.55 | Professional | None | $19.95 | $19.95 | $24.55 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $23.99 | Professional | None | $19.50 | $21.38 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $18.62 Typical High $34.67 | Facility | None | $14.13 | $18.62 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $26.92 Typical High $66.07 | Professional | None | $14.13 | $26.92 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $45.71 | Professional | None | $26.92 | $30.90 | $45.71 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $22.39 | Professional | None | $12.02 | $15.85 | $22.39 |
Wellpoint Setting Professional Modifier None Typical Low $10.47 Median $26.30 Typical High $26.30 | Professional | None | $10.47 | $26.30 | $26.30 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Where Maryland sits
The same service costs 3.5 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
$19.95
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.