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 $15.49 Median $20.89 Typical High $30.90 | Facility | None | $15.49 | $20.89 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $19.95 | Professional | None | $15.49 | $15.49 | $19.95 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $18.62 | Professional | None | $15.14 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $14.45 Typical High $26.92 | Facility | None | $10.96 | $14.45 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $51.29 | Professional | None | $10.96 | $20.89 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $40.74 | Professional | None | $20.89 | $23.99 | $40.74 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $17.38 | Professional | None | $9.33 | $12.30 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $20.42 Typical High $20.42 | Professional | None | $8.13 | $20.42 | $20.42 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Where Maryland sits
The same service costs 3.2 times more in Alaska 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· 50th of 51
$15.49
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.