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 $2.82 Median $3.80 Typical High $5.62 | Facility | None | $2.82 | $3.80 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.98 | Professional | None | $2.82 | $2.82 | $3.98 |
CareFirst Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $3.39 | Professional | None | $2.75 | $3.02 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $2.00 Median $2.51 Typical High $4.90 | Facility | None | $2.00 | $2.51 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.72 Typical High $9.55 | Professional | None | $2.00 | $3.72 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $6.61 | Professional | None | $3.80 | $4.37 | $6.61 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.09 Typical High $2.95 | Professional | None | $1.70 | $2.09 | $2.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.48 Median $3.39 Typical High $3.39 | Professional | None | $1.48 | $3.39 | $3.39 |
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 $1.41 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.41 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Where Maryland sits
The same service costs 11.7 times more in Minnesota 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· 50th of 51
$2.88
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.