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 Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $8.32 | Professional | None | $6.61 | $6.61 | $8.32 |
CareFirst Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $7.94 | Professional | None | $6.46 | $7.08 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $6.17 Typical High $11.48 | Facility | None | $4.68 | $6.17 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $8.91 Typical High $21.88 | Professional | None | $4.68 | $8.91 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $17.38 | Professional | None | $8.91 | $10.23 | $17.38 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.25 Typical High $7.41 | Professional | None | $3.98 | $5.25 | $7.41 |
Wellpoint Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
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 $3.31 Median $3.31 Typical High $3.31 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Where Maryland sits
The same service costs 4.3 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
$6.61
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.