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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
CareFirst Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $16.22 | Professional | None | $14.79 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $5.89 Typical High $26.30 | Facility | None | $3.02 | $5.89 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $11.22 Typical High $36.31 | Professional | None | $3.02 | $11.22 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $30.90 | Professional | None | $19.50 | $23.44 | $30.90 |
United Setting Professional Modifier None Typical Low $2.69 Median $9.12 Typical High $13.49 | Professional | None | $2.69 | $9.12 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $16.22 Typical High $16.22 | Professional | None | $7.94 | $16.22 | $16.22 |
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 $7.59 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.02 | $3.09 | $3.09 |
Where Maryland sits
The same service costs 7.6 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· 23rd of 51
$15.14
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.