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 $6.92 Median $6.92 Typical High $9.33 | Facility | None | $6.92 | $6.92 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $6.31 | Professional | None | $5.50 | $5.62 | $6.31 |
CareFirst Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $6.76 | Professional | None | $5.37 | $6.03 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $4.90 Typical High $9.77 | Facility | None | $3.98 | $4.90 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.41 Typical High $18.62 | Professional | None | $3.98 | $7.41 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $8.51 Typical High $12.88 | Professional | None | $7.41 | $8.51 | $12.88 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.27 Typical High $6.31 | Professional | None | $3.39 | $4.27 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $6.76 Typical High $6.76 | Professional | None | $2.95 | $6.76 | $6.76 |
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 $2.75 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.75 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$5.62
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.