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 $2.19 Median $3.02 Typical High $4.37 | Facility | None | $2.19 | $3.02 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $2.24 Typical High $3.72 | Professional | None | $1.62 | $2.24 | $3.72 |
CareFirst Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $2.69 | Professional | None | $2.14 | $2.40 | $2.69 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $2.09 Typical High $3.80 | Facility | None | $1.58 | $2.09 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $3.16 Typical High $7.24 | Professional | None | $1.58 | $3.16 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $4.47 | Professional | None | $3.02 | $3.47 | $4.47 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.74 Typical High $2.57 | Professional | None | $1.35 | $1.74 | $2.57 |
Wellpoint Setting Professional Modifier None Typical Low $1.17 Median $2.95 Typical High $2.95 | Professional | None | $1.17 | $2.95 | $2.95 |
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 $1.12 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.44 | $0.45 | $0.45 |
Where Maryland sits
The same service costs 28.2 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
$2.24
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.