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 $22.91 Median $23.44 Typical High $25.12 | Professional | None | $22.91 | $23.44 | $25.12 |
CareFirst Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $28.18 | Professional | None | $22.39 | $24.55 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $21.88 Typical High $39.81 | Facility | None | $16.60 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $30.90 Typical High $75.86 | Professional | None | $16.60 | $30.90 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $60.26 | Professional | None | $30.90 | $35.48 | $60.26 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $25.70 | Professional | None | $13.80 | $18.20 | $25.70 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $30.20 Typical High $30.20 | Professional | None | $12.02 | $30.20 | $30.20 |
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 $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.68 |
Where Maryland sits
The same service costs 3.7 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· 49th of 51
$23.44
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.