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 $17.78 Median $23.99 Typical High $26.92 | Professional | None | $17.78 | $23.99 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $28.84 | Professional | None | $23.44 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $41.69 | Facility | None | $16.98 | $22.39 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $32.36 Typical High $79.43 | Professional | None | $16.98 | $32.36 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $63.10 | Professional | None | $32.36 | $37.15 | $63.10 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $27.54 | Professional | None | $14.45 | $19.05 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $12.59 Median $31.62 Typical High $31.62 | Professional | None | $12.59 | $31.62 | $31.62 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Where Maryland sits
The same service costs 4.1 times more in Kansas 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
$23.99
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.