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 $28.84 Median $29.51 Typical High $29.51 | Professional | None | $28.84 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $50.12 | Facility | None | $13.18 | $25.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $69.18 | Professional | None | $13.18 | $25.12 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | None | $37.15 | $44.67 | $58.88 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $26.30 | Professional | None | $9.12 | $18.20 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $30.90 Typical High $30.90 | Professional | None | $15.14 | $30.90 | $30.90 |
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 $14.45 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.45 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.75 | $5.89 | $5.89 |
Where Maryland sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 30th of 51
$28.84
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.