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 $5.13 Median $5.13 Typical High $5.50 | Professional | None | $5.13 | $5.13 | $5.50 |
CareFirst Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $5.62 | Professional | None | $4.90 | $5.50 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $4.79 Typical High $8.91 | Facility | None | $3.63 | $4.79 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.76 Typical High $16.98 | Professional | None | $3.63 | $6.76 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $13.18 | Professional | None | $6.92 | $7.94 | $13.18 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.89 Typical High $5.89 | Professional | None | $3.02 | $3.89 | $5.89 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $6.76 Typical High $6.76 | Professional | None | $2.69 | $6.76 | $6.76 |
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 $2.51 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.51 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $1.00 | $1.02 | $1.02 |
Where Maryland sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 51st of 51
$5.13
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.