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 $16.98 Median $21.38 Typical High $28.84 | Facility | None | $16.98 | $21.38 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $21.38 | Professional | None | $16.98 | $17.38 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | None | $16.60 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $15.14 Typical High $29.51 | Facility | None | $12.30 | $15.14 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $40.74 | Professional | None | $12.02 | $16.98 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $34.67 | Professional | None | $21.88 | $26.30 | $34.67 |
United Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $17.38 | Professional | None | $9.55 | $11.48 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $34.67 | Professional | None | $8.91 | $8.91 | $34.67 |
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 $8.51 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.51 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.47 |
Where Maryland sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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· 46th of 51
$17.38
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.