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 $7.59 Median $7.59 Typical High $12.30 | Facility | None | $7.59 | $7.59 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
CareFirst Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $9.12 | Professional | None | $7.41 | $8.13 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $7.08 Typical High $13.18 | Facility | None | $5.37 | $7.08 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $10.23 Typical High $25.12 | Professional | None | $5.37 | $10.23 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $19.95 | Professional | None | $10.23 | $11.75 | $19.95 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.03 Typical High $8.71 | Professional | None | $4.57 | $6.03 | $8.71 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $10.00 Typical High $10.00 | Professional | None | $3.98 | $10.00 | $10.00 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Where Maryland sits
The same service costs 3.0 times more in Alaska 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
$7.59
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.