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 $9.55 Median $15.49 Typical High $19.05 | Facility | None | $9.55 | $15.49 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $16.22 | Professional | None | $7.08 | $9.77 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $11.75 | Professional | None | $9.33 | $10.47 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.12 Typical High $16.60 | Facility | None | $6.92 | $9.12 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.88 Typical High $32.36 | Professional | None | $6.92 | $12.88 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $19.50 | Professional | None | $12.88 | $14.79 | $19.50 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $10.96 | Professional | None | $5.89 | $7.59 | $10.96 |
Wellpoint Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $12.59 | Professional | None | $5.01 | $12.59 | $12.59 |
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 $4.79 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.79 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.91 | $1.95 | $1.95 |
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
$9.77
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.