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 $21.88 Typical High $22.91 | Professional | None | $21.38 | $21.88 | $22.91 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $23.99 | Professional | None | $20.89 | $23.44 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $19.05 Typical High $38.02 | Facility | None | $15.49 | $19.05 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $27.54 Typical High $72.44 | Professional | None | $15.49 | $27.54 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $43.65 | Professional | None | $28.84 | $33.11 | $43.65 |
United Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $21.88 | Professional | None | $12.30 | $15.49 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $24.55 Typical High $24.55 | Professional | None | $11.22 | $24.55 | $24.55 |
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 $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.96 | $10.96 |
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 3.5 times more in Alaska 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· 45th of 51
$21.88
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.