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 $9.33 Median $9.55 Typical High $9.55 | Professional | None | $9.33 | $9.55 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $10.72 | Professional | None | $9.12 | $10.23 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $8.32 Typical High $16.60 | Facility | None | $6.76 | $8.32 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $12.30 Typical High $31.62 | Professional | None | $6.76 | $12.30 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $22.39 | Professional | None | $12.88 | $14.79 | $22.39 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $10.00 | Professional | None | $5.75 | $7.08 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $5.01 Median $11.48 Typical High $11.48 | Professional | None | $5.01 | $11.48 | $11.48 |
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 $4.68 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.91 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 48th of 51
$9.55
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.