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 $3.98 Median $6.46 Typical High $7.94 | Facility | None | $3.98 | $6.46 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.07 Typical High $5.13 | Professional | None | $3.98 | $4.07 | $5.13 |
CareFirst Setting Professional Modifier None Typical Low $3.89 Median $4.27 Typical High $4.79 | Professional | None | $3.89 | $4.27 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $3.80 Typical High $6.92 | Facility | None | $2.88 | $3.80 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $5.50 Typical High $12.88 | Professional | None | $2.88 | $5.50 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $6.17 Typical High $8.91 | Professional | None | $5.37 | $6.17 | $8.91 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.16 Typical High $4.47 | Professional | None | $2.45 | $3.16 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $2.09 Median $5.25 Typical High $5.25 | Professional | None | $2.09 | $5.25 | $5.25 |
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 $2.00 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.00 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.79 | $0.81 | $0.81 |
Where Maryland sits
The same service costs 11.2 times more in Vermont than in Maryland. 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· 51st of 51
$4.07
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.