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 $5.75 Median $5.75 Typical High $6.17 | Professional | None | $5.75 | $5.75 | $6.17 |
CareFirst Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $6.92 | Professional | None | $5.50 | $6.17 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $5.37 Typical High $10.00 | Facility | None | $4.07 | $5.37 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $7.76 Typical High $19.50 | Professional | None | $4.07 | $7.76 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $8.91 Typical High $14.79 | Professional | None | $7.76 | $8.91 | $14.79 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $6.46 | Professional | None | $3.47 | $4.47 | $6.46 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $7.59 Typical High $7.59 | Professional | None | $3.02 | $7.59 | $7.59 |
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 $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.12 | $1.15 | $1.15 |
Where Maryland sits
The same service costs 3.2 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· 50th of 51
$5.75
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.