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 $16.22 Median $22.39 Typical High $32.36 | Facility | None | $16.22 | $22.39 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $21.88 | Professional | None | $12.02 | $16.22 | $21.88 |
CareFirst Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $19.95 | Professional | None | $15.85 | $17.78 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $15.49 Typical High $28.18 | Facility | None | $11.75 | $15.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $21.88 Typical High $53.70 | Professional | None | $11.75 | $21.88 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $42.66 | Professional | None | $21.88 | $25.12 | $42.66 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $19.05 | Professional | None | $10.00 | $12.88 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $21.38 | Professional | None | $8.51 | $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 $8.13 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $8.13 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.24 | $3.31 | $3.31 |
Where Maryland sits
The same service costs 13.5 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
$16.60
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.