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 $20.42 Median $20.89 Typical High $25.70 | Professional | None | $20.42 | $20.89 | $25.70 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $25.12 | Professional | None | $19.95 | $22.39 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $19.50 Typical High $36.31 | Facility | None | $14.79 | $19.50 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $28.18 Typical High $69.18 | Professional | None | $14.79 | $28.18 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $53.70 | Professional | None | $27.54 | $31.62 | $53.70 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $23.99 | Professional | None | $12.59 | $16.22 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $27.54 Typical High $27.54 | Professional | None | $10.96 | $27.54 | $27.54 |
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 $10.23 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.23 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.17 |
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· 50th of 51
$20.89
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.