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 Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $67.61 | Facility | None | $33.88 | $42.66 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $38.90 | Professional | None | $26.30 | $33.88 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | None | $19.95 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $29.51 Typical High $57.54 | Facility | None | $15.14 | $29.51 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $70.79 | Professional | None | $15.14 | $24.55 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $50.12 | Professional | None | $33.11 | $38.02 | $50.12 |
United Setting Professional Modifier None Typical Low $14.13 Median $24.55 Typical High $33.11 | Professional | None | $14.13 | $24.55 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | None | $17.78 | $17.78 | $45.71 |
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 $16.98 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.76 |
Where Maryland sits
The same service costs 10.0 times more in Texas than in Arizona. 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
$22.39
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.