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 $15.85 Median $25.70 Typical High $31.62 | Facility | None | $15.85 | $25.70 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $19.50 | Professional | None | $11.75 | $15.85 | $19.50 |
CareFirst Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $16.98 | Professional | None | $15.49 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $14.79 Typical High $27.54 | Facility | None | $11.22 | $14.79 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $21.38 Typical High $52.48 | Professional | None | $11.22 | $21.38 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $41.69 | Professional | None | $21.38 | $24.55 | $41.69 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $17.78 | Professional | None | $9.55 | $12.02 | $17.78 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $20.89 Typical High $20.89 | Professional | None | $8.32 | $20.89 | $20.89 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
Where Maryland sits
The same service costs 4.1 times more in Kansas 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
$15.85
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.