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 $11.22 Median $13.80 Typical High $18.62 | Facility | None | $11.22 | $13.80 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | None | $11.22 | $11.22 | $13.18 |
CareFirst Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $13.49 | Professional | None | $10.72 | $12.02 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $10.47 Typical High $19.50 | Facility | None | $7.94 | $10.47 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $37.15 | Professional | None | $7.94 | $14.79 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $28.84 | Professional | None | $15.14 | $17.38 | $28.84 |
United Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $12.59 | Professional | None | $6.76 | $8.91 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $14.79 | Professional | None | $5.89 | $14.79 | $14.79 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
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
$11.22
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.