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 $70.79 Median $72.44 Typical High $72.44 | Professional | None | $70.79 | $72.44 | $72.44 |
CareFirst Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | None | $69.18 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $123.03 | Facility | None | $50.12 | $63.10 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $234.42 | Professional | None | $50.12 | $91.20 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $144.54 | Professional | None | $95.50 | $109.65 | $144.54 |
United Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $79.43 | Professional | None | $42.66 | $47.86 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $79.43 Typical High $79.43 | Professional | None | $37.15 | $79.43 | $79.43 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.13 | $14.45 | $14.45 |
Where Maryland sits
The same service costs 5.4 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· 44th of 51
$72.44
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.