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 $26.92 Median $27.54 Typical High $27.54 | Professional | None | $26.92 | $27.54 | $27.54 |
CareFirst Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $33.11 | Professional | None | $26.30 | $29.51 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $72.44 | Facility | None | $19.50 | $25.70 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $41.69 Typical High $89.13 | Professional | None | $19.50 | $41.69 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $70.79 | Professional | None | $36.31 | $41.69 | $70.79 |
United Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $34.67 | Professional | None | $16.60 | $21.88 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $35.48 Typical High $35.48 | Professional | None | $14.13 | $35.48 | $35.48 |
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 $13.49 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.49 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.37 | $5.50 | $5.50 |
Where Maryland sits
The same service costs 10.2 times more in Kansas than in Alabama. 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· 49th of 51
$29.51
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.