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 $6.46 Median $8.71 Typical High $12.59 | Facility | None | $6.46 | $8.71 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $9.12 | Professional | None | $4.79 | $6.46 | $9.12 |
CareFirst Setting Professional Modifier None Typical Low $6.17 Median $6.92 Typical High $7.76 | Professional | None | $6.17 | $6.92 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $11.22 | Facility | None | $4.57 | $6.03 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $8.91 Typical High $20.89 | Professional | None | $4.57 | $8.91 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $10.00 Typical High $16.60 | Professional | None | $8.71 | $10.00 | $16.60 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $44.67 | Facility | None | $2.95 | $2.95 | $44.67 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.13 Typical High $7.24 | Professional | None | $3.89 | $5.13 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $8.51 Typical High $8.51 | Professional | None | $3.39 | $8.51 | $8.51 |
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 $3.24 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
Where Maryland sits
The same service costs 13.2 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
$6.46
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.