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 $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | None | $12.30 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $11.22 Typical High $22.39 | Facility | None | $6.92 | $11.22 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $36.31 | Professional | None | $6.92 | $12.59 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $25.70 | Professional | None | $17.38 | $19.95 | $25.70 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $13.18 | Professional | None | $6.17 | $8.71 | $13.18 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $13.80 Typical High $13.80 | Professional | None | $6.76 | $13.80 | $13.80 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Where Maryland sits
The same service costs 6.3 times more in Alaska 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· 40th of 51
$12.88
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.