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 $8.91 Median $12.30 Typical High $17.78 | Facility | None | $8.91 | $12.30 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $14.45 | Professional | None | $6.61 | $9.12 | $14.45 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $12.88 | Professional | None | $8.71 | $9.77 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $8.51 Typical High $15.49 | Facility | None | $6.46 | $8.51 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.30 Typical High $29.51 | Professional | None | $6.46 | $12.30 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $23.44 | Professional | None | $12.02 | $13.80 | $23.44 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.08 Typical High $10.23 | Professional | None | $5.50 | $7.08 | $10.23 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $11.75 Typical High $11.75 | Professional | None | $4.68 | $11.75 | $11.75 |
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 $4.47 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.47 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.78 | $1.82 | $1.82 |
Where Maryland sits
The same service costs 8.3 times more in Vermont 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
$9.12
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.