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 $30.90 Median $41.69 Typical High $60.26 | Facility | None | $30.90 | $41.69 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $48.98 | Professional | None | $22.91 | $30.90 | $48.98 |
CareFirst Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $37.15 | Professional | None | $29.51 | $33.11 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $53.70 | Facility | None | $21.88 | $28.84 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $102.33 | Professional | None | $21.88 | $41.69 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | None | $41.69 | $47.86 | $79.43 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $34.67 | Professional | None | $18.62 | $23.99 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $40.74 Typical High $40.74 | Professional | None | $16.22 | $40.74 | $40.74 |
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 $15.14 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.14 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Where Maryland sits
The same service costs 7.6 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
$30.90
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.