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 $12.59 Median $13.80 Typical High $14.13 | Professional | None | $12.59 | $13.80 | $14.13 |
CareFirst Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | None | $13.49 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $24.55 | Facility | None | $8.91 | $12.30 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $45.71 | Professional | None | $8.91 | $14.45 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $28.18 | Professional | None | $18.62 | $21.38 | $28.18 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $15.85 | Professional | None | $7.94 | $9.33 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $14.79 Typical High $14.79 | Professional | None | $7.24 | $14.79 | $14.79 |
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 $6.92 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.92 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.75 | $2.82 | $2.82 |
Where Maryland sits
The same service costs 3.6 times more in Alaska 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· 45th of 51
$14.13
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.