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 $9.77 Median $10.00 Typical High $10.00 | Professional | None | $9.77 | $10.00 | $10.00 |
CareFirst Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $11.75 | Professional | None | $9.55 | $10.47 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.12 Typical High $16.98 | Facility | None | $6.92 | $9.12 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $13.18 Typical High $32.36 | Professional | None | $6.92 | $13.18 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $19.95 | Professional | None | $12.59 | $15.14 | $19.95 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $9.77 | Professional | None | $5.50 | $7.59 | $9.77 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $12.88 Typical High $12.88 | Professional | None | $5.13 | $12.88 | $12.88 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | 52 · Reduced service | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.00 |
Where Maryland sits
The same service costs 3.3 times more in South Carolina 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
$10.00
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.