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 $10.47 Median $10.47 Typical High $16.98 | Facility | None | $10.47 | $10.47 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | None | $10.23 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.33 Typical High $18.20 | Facility | None | $6.92 | $9.33 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $34.67 | Professional | None | $6.92 | $11.48 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $21.38 | Professional | None | $14.13 | $16.22 | $21.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $10.72 | Professional | None | $6.03 | $7.08 | $10.72 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $11.22 Typical High $11.22 | Professional | None | $5.50 | $11.22 | $11.22 |
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 $5.25 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.25 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $2.09 | $2.14 | $2.14 |
Where Maryland sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 44th of 51
$10.72
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.