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 $4.47 Median $6.03 Typical High $8.91 | Facility | None | $4.47 | $6.03 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $6.76 | Professional | None | $3.31 | $4.47 | $6.76 |
CareFirst Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $7.08 | Professional | None | $4.37 | $4.79 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $4.17 Typical High $7.76 | Facility | None | $3.16 | $4.17 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $6.17 Typical High $14.45 | Professional | None | $3.16 | $6.17 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $10.00 | Professional | None | $6.03 | $6.92 | $10.00 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $15.14 | Facility | None | $2.00 | $2.00 | $15.14 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.47 Typical High $5.01 | Professional | None | $2.69 | $3.47 | $5.01 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $5.89 Typical High $5.89 | Professional | None | $2.34 | $5.89 | $5.89 |
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 $2.24 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.89 | $0.89 | $0.89 |
Where Maryland sits
The same service costs 14.5 times more in Minnesota 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
$4.47
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.