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 $4.27 Median $5.89 Typical High $8.51 | Facility | None | $4.27 | $5.89 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.79 | Professional | None | $4.27 | $4.27 | $4.79 |
CareFirst Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $4.79 | Professional | None | $4.17 | $4.57 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.80 Typical High $7.41 | Facility | None | $3.02 | $3.80 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $5.50 Typical High $14.45 | Professional | None | $3.02 | $5.50 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $10.00 | Professional | None | $5.75 | $6.61 | $10.00 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $4.37 | Professional | None | $2.57 | $3.09 | $4.37 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $4.90 Typical High $4.90 | Professional | None | $2.24 | $4.90 | $4.90 |
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 $2.14 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.85 |
Where Maryland sits
The same service costs 3.2 times more in Kansas than in New Jersey. 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
$4.27
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.