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 $14.45 Median $14.79 Typical High $16.22 | Professional | None | $14.45 | $14.79 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $16.98 | Professional | None | $14.13 | $15.85 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $25.70 | Facility | None | $10.47 | $13.80 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.50 Typical High $47.86 | Professional | None | $10.47 | $19.50 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $38.02 | Professional | None | $19.95 | $22.91 | $38.02 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $16.98 | Professional | None | $8.91 | $11.22 | $16.98 |
Wellpoint Setting Professional Modifier None Typical Low $7.76 Median $19.50 Typical High $19.50 | Professional | None | $7.76 | $19.50 | $19.50 |
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 $7.24 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $7.24 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.95 | $2.95 | $2.95 |
Where Maryland sits
The same service costs 4.5 times more in Kansas than in Alabama. 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· 49th of 51
$14.79
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.