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 $5.75 Median $5.75 Typical High $9.33 | Facility | None | $5.75 | $5.75 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $7.24 | Professional | None | $5.75 | $5.89 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $5.62 Median $6.31 Typical High $7.08 | Professional | None | $5.62 | $6.31 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $5.50 Typical High $10.23 | Facility | None | $4.17 | $5.50 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $7.76 Typical High $19.50 | Professional | None | $4.17 | $7.76 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $9.12 Typical High $15.14 | Professional | None | $7.94 | $9.12 | $15.14 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.57 Typical High $6.61 | Professional | None | $3.55 | $4.57 | $6.61 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $7.76 Typical High $7.76 | Professional | None | $3.09 | $7.76 | $7.76 |
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 $2.88 Median $2.95 Typical High $2.95 | Professional | 52 · Reduced service | $2.88 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.17 Typical High $1.17 | Professional | 53 · Discontinued | $1.15 | $1.17 | $1.17 |
Where Maryland sits
The same service costs 4.1 times more in Kansas 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
$5.89
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.