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 $14.45 Median $14.45 Typical High $15.85 | Facility | None | $14.45 | $14.45 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $12.88 | Professional | None | $11.48 | $11.75 | $12.88 |
CareFirst Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $14.13 | Professional | None | $11.22 | $12.59 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $10.96 Typical High $19.95 | Facility | None | $8.32 | $10.96 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $15.49 Typical High $38.90 | Professional | None | $8.32 | $15.49 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $23.44 | Professional | None | $15.49 | $17.78 | $23.44 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $13.49 | Professional | None | $7.08 | $9.12 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $15.14 | Professional | None | $6.03 | $15.14 | $15.14 |
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 $5.75 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.34 | $2.34 |
Where Maryland sits
The same service costs 4.2 times more in Kansas 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
$11.75
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.