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 $47.86 Median $47.86 Typical High $48.98 | Professional | None | $47.86 | $47.86 | $48.98 |
CareFirst Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | None | $45.71 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $83.18 | Facility | None | $33.88 | $42.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $158.49 | Professional | None | $30.20 | $61.66 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | None | $64.57 | $74.13 | $95.50 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $48.98 | Professional | None | $22.91 | $32.36 | $48.98 |
Wellpoint Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $51.29 | Professional | None | $25.12 | $51.29 | $51.29 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Where Maryland sits
The same service costs 6.0 times more in Alaska 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· 41st of 51
$47.86
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.