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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $10.00 | Professional | None | $8.91 | $9.12 | $10.00 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | None | $8.71 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $7.94 Typical High $15.49 | Facility | None | $6.46 | $7.94 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $20.89 | Professional | None | $6.46 | $8.91 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $18.20 | Professional | None | $11.48 | $13.80 | $18.20 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $10.00 | Professional | None | $5.01 | $6.03 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $4.68 Median $9.55 Typical High $9.55 | Professional | None | $4.68 | $9.55 | $9.55 |
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 $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.47 |
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 3.7 times more in Alaska than in West Virginia. 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· 43rd 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.