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 $4.07 Median $4.07 Typical High $4.47 | Facility | None | $4.07 | $4.07 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.31 Typical High $4.37 | Professional | None | $3.24 | $3.31 | $4.37 |
CareFirst Setting Professional Modifier None Typical Low $3.16 Median $3.55 Typical High $3.98 | Professional | None | $3.16 | $3.55 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $3.09 Typical High $5.75 | Facility | None | $2.34 | $3.09 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $4.47 Typical High $10.47 | Professional | None | $2.34 | $4.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $8.51 | Professional | None | $4.37 | $5.01 | $8.51 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.57 Typical High $3.72 | Professional | None | $2.00 | $2.57 | $3.72 |
Wellpoint Setting Professional Modifier None Typical Low $1.74 Median $4.37 Typical High $4.37 | Professional | None | $1.74 | $4.37 | $4.37 |
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 $1.62 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.62 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.65 | $0.66 | $0.66 |
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
$3.31
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.