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 $57.54 Median $58.88 Typical High $58.88 | Professional | None | $57.54 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $102.33 | Facility | None | $26.30 | $51.29 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $51.29 Typical High $138.04 | Professional | None | $26.30 | $51.29 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | None | $79.43 | $91.20 | $117.49 |
United Setting Professional Modifier None Typical Low $23.44 Median $38.90 Typical High $53.70 | Professional | None | $23.44 | $38.90 | $53.70 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $63.10 Typical High $63.10 | Professional | None | $30.90 | $63.10 | $63.10 |
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 $28.84 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Where Maryland sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 31st of 51
$57.54
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.