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 $5.13 Median $5.25 Typical High $5.37 | Professional | None | $5.13 | $5.25 | $5.37 |
CareFirst Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $5.62 | Professional | None | $5.01 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $3.02 Typical High $9.12 | Facility | None | $1.58 | $3.02 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $4.17 Typical High $12.59 | Professional | None | $1.58 | $4.17 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $10.47 | Professional | None | $6.61 | $8.13 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $7.76 | Professional | None | $2.00 | $4.17 | $7.76 |
Wellpoint Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
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 $2.57 Median $2.63 Typical High $2.63 | Professional | 52 · Reduced service | $2.57 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.05 |
Where Maryland sits
The same service costs 5.4 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· 34th of 51
$5.25
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.