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 $32.36 Median $33.11 Typical High $33.11 | Professional | None | $32.36 | $33.11 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | None | $31.62 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $28.84 Typical High $57.54 | Facility | None | $23.44 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $33.11 Typical High $109.65 | Professional | None | $13.80 | $33.11 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $66.07 | Professional | None | $44.67 | $51.29 | $66.07 |
United Setting Professional Modifier None Typical Low $7.41 Median $20.89 Typical High $29.51 | Professional | None | $7.41 | $20.89 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $35.48 Typical High $35.48 | Professional | None | $17.38 | $35.48 | $35.48 |
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 $16.22 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Where Maryland sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 25th of 51
$33.11
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.