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 $7.41 Median $7.59 Typical High $7.76 | Professional | None | $7.41 | $7.59 | $7.76 |
CareFirst Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | None | $7.24 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $6.61 Typical High $13.18 | Facility | None | $5.13 | $6.61 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $25.12 | Professional | None | $5.13 | $8.51 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $15.14 | Professional | None | $10.00 | $11.48 | $15.14 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $7.59 | Professional | None | $4.27 | $5.01 | $7.59 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $7.94 | Professional | None | $3.98 | $7.94 | $7.94 |
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 $3.72 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.72 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.48 | $1.51 | $1.51 |
Where Maryland sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 46th of 51
$7.59
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.