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 $3.31 Median $4.57 Typical High $6.61 | Facility | None | $3.31 | $4.57 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.39 Typical High $5.89 | Professional | None | $2.45 | $3.39 | $5.89 |
CareFirst Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $5.37 | Professional | None | $3.24 | $3.63 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $3.16 Typical High $5.89 | Facility | None | $2.40 | $3.16 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.47 Typical High $11.22 | Professional | None | $2.40 | $4.47 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $5.25 Typical High $8.71 | Professional | None | $4.47 | $5.25 | $8.71 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.63 Typical High $3.80 | Professional | None | $2.04 | $2.63 | $3.80 |
Wellpoint Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
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 $1.66 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.66 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Where Maryland sits
The same service costs 15.8 times more in Vermont 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
$3.47
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.