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 $7.94 Median $7.94 Typical High $8.51 | Professional | None | $7.94 | $7.94 | $8.51 |
CareFirst Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $9.55 | Professional | None | $7.59 | $8.51 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $7.24 Typical High $13.80 | Facility | None | $5.62 | $7.24 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.47 Typical High $25.70 | Professional | None | $5.62 | $10.47 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.72 Median $12.30 Typical High $15.85 | Professional | None | $10.72 | $12.30 | $15.85 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $8.91 | Professional | None | $4.47 | $6.17 | $8.91 |
Wellpoint Setting Professional Modifier None Typical Low $4.17 Median $10.23 Typical High $10.23 | Professional | None | $4.17 | $10.23 | $10.23 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Where Maryland sits
The same service costs 3.9 times more in Kansas than in Nebraska. 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· 50th of 51
$7.94
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.