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 $1.74 Median $2.40 Typical High $3.47 | Facility | None | $1.74 | $2.40 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.74 Typical High $2.34 | Professional | None | $1.29 | $1.74 | $2.34 |
CareFirst Setting Professional Modifier None Typical Low $1.70 Median $1.91 Typical High $2.19 | Professional | None | $1.70 | $1.91 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $1.26 Median $1.66 Typical High $3.09 | Facility | None | $1.26 | $1.66 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $2.40 Typical High $5.62 | Professional | None | $1.26 | $2.40 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.34 Median $2.75 Typical High $4.57 | Professional | None | $2.34 | $2.75 | $4.57 |
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 $1.20 Median $1.70 Typical High $2.63 | Professional | None | $1.20 | $1.70 | $2.63 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
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 $0.87 Median $0.89 Typical High $0.89 | Professional | 52 · Reduced service | $0.87 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.36 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.36 |
Where Maryland sits
The same service costs 17.0 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
$1.91
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.