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 $10.23 Median $14.13 Typical High $20.42 | Facility | None | $10.23 | $14.13 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $12.88 | Professional | None | $10.23 | $10.47 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $12.59 | Professional | None | $10.00 | $10.96 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $9.77 Typical High $17.78 | Facility | None | $7.41 | $9.77 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.80 Typical High $33.88 | Professional | None | $7.41 | $13.80 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $26.92 | Professional | None | $13.80 | $15.85 | $26.92 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.13 Typical High $11.75 | Professional | None | $6.17 | $8.13 | $11.75 |
Wellpoint Setting Professional Modifier None Typical Low $5.37 Median $13.49 Typical High $13.49 | Professional | None | $5.37 | $13.49 | $13.49 |
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 $5.13 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.09 |
Where Maryland sits
The same service costs 28.8 times more in Vermont 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· 50th of 51
$10.47
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.