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 $5.37 Median $7.24 Typical High $10.72 | Facility | None | $5.37 | $7.24 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $8.71 | Professional | None | $3.98 | $5.37 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $6.46 | Professional | None | $5.13 | $5.75 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $5.01 Typical High $9.33 | Facility | None | $3.80 | $5.01 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.08 Typical High $17.78 | Professional | None | $3.80 | $7.08 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $8.32 Typical High $14.13 | Professional | None | $7.24 | $8.32 | $14.13 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $6.03 | Professional | None | $3.24 | $4.27 | $6.03 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
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 $2.69 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Where Maryland sits
The same service costs 5.8 times more in Vermont than in Maryland. 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· 51st of 51
$5.37
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.