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 $3.16 Median $3.24 Typical High $5.01 | Professional | None | $3.16 | $3.24 | $5.01 |
CareFirst Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $3.55 | Professional | None | $3.09 | $3.47 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $2.95 Typical High $5.50 | Facility | None | $2.24 | $2.95 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $4.47 Typical High $10.47 | Professional | None | $2.24 | $4.47 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.27 Median $4.90 Typical High $8.32 | Professional | None | $4.27 | $4.90 | $8.32 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $4.79 | Professional | None | $2.14 | $3.02 | $4.79 |
Wellpoint Setting Professional Modifier None Typical Low $1.66 Median $4.17 Typical High $4.17 | Professional | None | $1.66 | $4.17 | $4.17 |
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 $1.58 Median $1.58 Typical High $1.58 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.63 | $0.65 | $0.65 |
Where Maryland sits
The same service costs 3.2 times more in Kansas 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
$3.47
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.