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 $4.07 Median $4.17 Typical High $4.68 | Professional | None | $4.07 | $4.17 | $4.68 |
CareFirst Setting Professional Modifier None Typical Low $3.98 Median $4.47 Typical High $5.01 | Professional | None | $3.98 | $4.47 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $3.89 Typical High $7.24 | Facility | None | $2.95 | $3.89 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.50 Typical High $13.80 | Professional | None | $2.95 | $5.50 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $10.72 | Professional | None | $5.62 | $6.46 | $10.72 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.24 Typical High $4.68 | Professional | None | $2.51 | $3.24 | $4.68 |
Wellpoint Setting Professional Modifier None Typical Low $2.19 Median $5.50 Typical High $5.50 | Professional | None | $2.19 | $5.50 | $5.50 |
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 $2.04 Median $2.09 Typical High $2.09 | Professional | 52 · Reduced service | $2.04 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.83 Typical High $0.83 | Professional | 53 · Discontinued | $0.81 | $0.83 | $0.83 |
Where Maryland sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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· 50th of 51
$4.17
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.