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 $60.26 Median $61.66 Typical High $61.66 | Professional | None | $60.26 | $61.66 | $61.66 |
CareFirst Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | None | $58.88 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $107.15 | Facility | None | $43.65 | $53.70 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $77.62 Typical High $199.53 | Professional | None | $43.65 | $77.62 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $123.03 | Professional | None | $81.28 | $93.33 | $123.03 |
United Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $69.18 | Professional | None | $37.15 | $40.74 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $67.61 | Professional | None | $31.62 | $67.61 | $67.61 |
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 $30.20 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.30 | $12.30 |
Where Maryland sits
The same service costs 4.9 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
$61.66
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.