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 $4.90 Median $5.01 Typical High $5.37 | Professional | None | $4.90 | $5.01 | $5.37 |
CareFirst Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $5.62 | Professional | None | $4.79 | $5.37 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $8.51 | Facility | None | $3.55 | $4.68 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.76 Typical High $16.22 | Professional | None | $3.55 | $6.76 | $16.22 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $10.00 | Professional | None | $6.31 | $7.59 | $10.00 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $4.47 | Professional | None | $2.82 | $3.31 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $2.57 Median $6.46 Typical High $6.46 | Professional | None | $2.57 | $6.46 | $6.46 |
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 $2.45 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.45 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.00 |
Where Maryland sits
The same service costs 3.6 times more in Alaska than in Kansas. 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
$5.01
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.