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 $14.13 Median $14.13 Typical High $17.38 | Professional | None | $14.13 | $14.13 | $17.38 |
CareFirst Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $16.98 | Professional | None | $13.80 | $15.14 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $24.55 | Facility | None | $10.00 | $13.18 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.05 Typical High $46.77 | Professional | None | $10.00 | $19.05 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $37.15 | Professional | None | $19.05 | $21.88 | $37.15 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $15.85 | Professional | None | $8.51 | $11.22 | $15.85 |
Wellpoint Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $18.62 | Professional | None | $7.41 | $18.62 | $18.62 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.88 | $2.88 |
Where Maryland sits
The same service costs 5.5 times more in Kansas than in Alabama. 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
$14.13
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.