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 $3.72 Median $5.13 Typical High $7.41 | Facility | None | $3.72 | $5.13 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.72 Typical High $4.68 | Professional | None | $2.75 | $3.72 | $4.68 |
CareFirst Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $4.57 | Professional | None | $3.63 | $4.07 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $3.39 Typical High $6.61 | Facility | None | $2.69 | $3.39 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $5.13 Typical High $12.02 | Professional | None | $2.69 | $5.13 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $9.33 | Professional | None | $5.01 | $5.75 | $9.33 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $4.17 | Professional | None | $2.29 | $2.82 | $4.17 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $4.79 Typical High $4.79 | Professional | None | $1.95 | $4.79 | $4.79 |
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 $1.86 Median $1.91 Typical High $1.91 | Professional | 52 · Reduced service | $1.86 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.76 |
Where Maryland sits
The same service costs 9.3 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
$3.80
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.