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 $13.49 Median $13.80 Typical High $14.79 | Professional | None | $13.49 | $13.80 | $14.79 |
CareFirst Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $16.60 | Professional | None | $13.18 | $14.45 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $12.88 Typical High $23.44 | Facility | None | $9.77 | $12.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $44.67 | Professional | None | $9.77 | $18.20 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $35.48 | Professional | None | $18.20 | $20.89 | $35.48 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $15.49 | Professional | None | $8.32 | $10.47 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $17.78 Typical High $17.78 | Professional | None | $7.08 | $17.78 | $17.78 |
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 $6.76 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.75 | $2.75 |
Where Maryland sits
The same service costs 3.0 times more in Alaska 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
$13.80
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.