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 $4.79 Median $5.25 Typical High $7.59 | Facility | None | $4.79 | $5.25 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $4.90 | Professional | None | $3.80 | $3.89 | $4.90 |
CareFirst Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $4.68 | Professional | None | $3.72 | $4.17 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $3.63 Typical High $6.76 | Facility | None | $2.75 | $3.63 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.13 Typical High $12.88 | Professional | None | $2.75 | $5.13 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $6.03 Typical High $10.00 | Professional | None | $5.13 | $6.03 | $10.00 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $4.37 | Professional | None | $2.34 | $3.02 | $4.37 |
Wellpoint Setting Professional Modifier None Typical Low $2.04 Median $5.13 Typical High $5.13 | Professional | None | $2.04 | $5.13 | $5.13 |
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 $1.91 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.91 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.78 |
Where Maryland sits
The same service costs 9.3 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
$3.89
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.