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 $2.88 Median $2.88 Typical High $4.68 | Facility | None | $2.88 | $2.88 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $2.95 Typical High $3.55 | Professional | None | $2.88 | $2.95 | $3.55 |
CareFirst Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | None | $2.82 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $2.75 Typical High $5.13 | Facility | None | $2.09 | $2.75 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $4.07 Typical High $9.55 | Professional | None | $2.09 | $4.07 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $5.89 | Professional | None | $3.89 | $4.47 | $5.89 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.51 Typical High $4.37 | Professional | None | $1.95 | $2.51 | $4.37 |
Wellpoint Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
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 $1.45 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.45 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.58 | $0.59 | $0.59 |
Where Maryland sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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
$3.16
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.