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 $23.44 Median $31.62 Typical High $37.15 | Facility | None | $23.44 | $31.62 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $26.92 | Professional | None | $18.62 | $19.05 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $22.91 | Professional | None | $18.20 | $20.42 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $33.11 | Facility | None | $13.49 | $17.78 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $25.70 Typical High $63.10 | Professional | None | $13.49 | $25.70 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $38.02 | Professional | None | $23.99 | $29.51 | $38.02 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $19.50 | Professional | None | $10.72 | $14.79 | $19.50 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $25.12 Typical High $25.12 | Professional | None | $10.00 | $25.12 | $25.12 |
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 $9.33 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.33 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Where Maryland sits
The same service costs 4.3 times more in South Carolina than in Alabama. 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· 49th of 51
$19.05
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.