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 $3.47 Median $3.55 Typical High $3.55 | Professional | None | $3.47 | $3.55 | $3.55 |
CareFirst Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $4.27 | Professional | None | $3.39 | $3.72 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $3.09 Typical High $6.03 | Facility | None | $2.51 | $3.09 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $4.57 Typical High $11.22 | Professional | None | $2.51 | $4.57 | $11.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $5.37 Typical High $8.32 | Professional | None | $4.68 | $5.37 | $8.32 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.63 Typical High $3.72 | Professional | None | $2.09 | $2.63 | $3.72 |
Wellpoint Setting Professional Modifier None Typical Low $1.82 Median $4.27 Typical High $4.27 | Professional | None | $1.82 | $4.27 | $4.27 |
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 $1.74 Median $1.78 Typical High $1.78 | Professional | 52 · Reduced service | $1.74 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.69 | $0.71 | $0.71 |
Where Maryland sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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
$3.55
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.