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 $29.51 Median $37.15 Typical High $58.88 | Facility | None | $29.51 | $37.15 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $33.11 | Professional | None | $29.51 | $32.36 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | None | $19.50 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $23.44 Typical High $50.12 | Facility | None | $12.02 | $23.44 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $61.66 | Professional | None | $12.30 | $20.89 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $42.66 | Professional | None | $28.84 | $33.11 | $42.66 |
United Setting Professional Modifier None Typical Low $11.75 Median $21.38 Typical High $28.84 | Professional | None | $11.75 | $21.38 | $28.84 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $25.12 | Professional | None | $9.77 | $9.77 | $25.12 |
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 $14.79 Median $14.79 Typical High $16.60 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.61 |
Where Maryland sits
The same service costs 8.5 times more in Alaska 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· 42nd of 51
$21.38
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.