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 $8.51 Median $11.48 Typical High $16.98 | Facility | None | $8.51 | $11.48 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $13.49 | Professional | None | $6.31 | $8.51 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $10.23 | Professional | None | $8.32 | $9.12 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $7.94 Typical High $14.79 | Facility | None | $6.03 | $7.94 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.48 Typical High $28.18 | Professional | None | $6.03 | $11.48 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $22.39 | Professional | None | $11.48 | $13.18 | $22.39 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $9.77 | Professional | None | $5.13 | $6.76 | $9.77 |
Wellpoint Setting Professional Modifier None Typical Low $4.47 Median $11.22 Typical High $11.22 | Professional | None | $4.47 | $11.22 | $11.22 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Where Maryland sits
The same service costs 12.6 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
$8.51
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.