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 $9.33 Median $9.33 Typical High $10.23 | Professional | None | $9.33 | $9.33 | $10.23 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $11.22 | Professional | None | $9.12 | $10.00 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $8.71 Typical High $16.22 | Facility | None | $6.61 | $8.71 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $12.59 Typical High $30.90 | Professional | None | $6.61 | $12.59 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $24.55 | Professional | None | $12.59 | $14.45 | $24.55 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.41 Typical High $10.47 | Professional | None | $5.62 | $7.41 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $12.30 | Professional | None | $4.90 | $12.30 | $12.30 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.86 |
Where Maryland sits
The same service costs 3.5 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
$9.33
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.