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 $17.78 Median $19.95 Typical High $20.42 | Professional | None | $17.78 | $19.95 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | None | $19.05 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $17.38 Typical High $34.67 | Facility | None | $12.02 | $17.38 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $61.66 | Professional | None | $12.02 | $19.95 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $39.81 | Professional | None | $26.92 | $30.90 | $39.81 |
United Setting Professional Modifier None Typical Low $6.17 Median $13.49 Typical High $20.42 | Professional | None | $6.17 | $13.49 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $10.47 Median $21.38 Typical High $21.38 | Professional | None | $10.47 | $21.38 | $21.38 |
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 $9.77 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Where Maryland sits
The same service costs 3.8 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· 45th of 51
$19.95
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.