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 $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
CareFirst Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $8.13 | Professional | None | $7.08 | $7.76 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $6.46 Typical High $12.59 | Facility | None | $5.13 | $6.46 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $23.99 | Professional | None | $5.13 | $9.33 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $16.98 | Professional | None | $9.77 | $11.22 | $16.98 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $7.41 | Professional | None | $4.37 | $5.25 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $3.80 Median $8.51 Typical High $8.51 | Professional | None | $3.80 | $8.51 | $8.51 |
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 $3.63 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.45 |
Where Maryland sits
The same service costs 3.6 times more in Kansas than in New Jersey. 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
$7.24
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.