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 $8.32 Median $8.51 Typical High $9.12 | Professional | None | $8.32 | $8.51 | $9.12 |
CareFirst Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $10.23 | Professional | None | $8.13 | $9.12 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $7.94 Typical High $14.79 | Facility | None | $6.03 | $7.94 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.22 Typical High $28.18 | Professional | None | $6.03 | $11.22 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $21.88 | Professional | None | $11.22 | $12.88 | $21.88 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $9.55 | Professional | None | $5.13 | $6.61 | $9.55 |
Wellpoint Setting Professional Modifier None Typical Low $4.37 Median $10.96 Typical High $10.96 | Professional | None | $4.37 | $10.96 | $10.96 |
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 $4.17 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.17 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.66 | $1.70 | $1.70 |
Where Maryland sits
The same service costs 3.5 times more in Alaska 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· 45th of 51
$8.51
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.