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 $26.30 Median $26.30 Typical High $42.66 | Facility | None | $26.30 | $26.30 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | None | $26.30 | $26.30 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | None | $25.70 | $28.18 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $45.71 | Facility | None | $18.62 | $24.55 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $35.48 Typical High $87.10 | Professional | None | $18.62 | $35.48 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $69.18 | Professional | None | $35.48 | $40.74 | $69.18 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $29.51 | Professional | None | $15.85 | $20.89 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $13.80 Median $34.67 Typical High $34.67 | Professional | None | $13.80 | $34.67 | $34.67 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Where Maryland sits
The same service costs 4.3 times more in Alaska 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· 48th of 51
$26.30
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.