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 $7.08 Median $7.08 Typical High $7.24 | Professional | None | $7.08 | $7.08 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $7.59 | Professional | None | $6.76 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $6.17 Typical High $12.30 | Facility | None | $5.01 | $6.17 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $23.44 | Professional | None | $5.01 | $8.91 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $14.13 | Professional | None | $8.91 | $10.96 | $14.13 |
United Setting Professional Modifier None Typical Low $1.45 Median $4.79 Typical High $6.31 | Professional | None | $1.45 | $4.79 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $3.72 Median $8.32 Typical High $8.32 | Professional | None | $3.72 | $8.32 | $8.32 |
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 $3.55 Median $3.55 Typical High $3.55 | Professional | 52 · Reduced service | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.41 |
Where Maryland sits
The same service costs 4.2 times more in Kansas than in North Carolina. 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· 46th of 51
$7.08
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.