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 $18.62 Median $25.12 Typical High $30.90 | Professional | None | $18.62 | $25.12 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $30.20 | Professional | None | $24.55 | $26.92 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $23.44 Typical High $43.65 | Facility | None | $17.78 | $23.44 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $83.18 | Professional | None | $17.78 | $33.88 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $51.29 | Professional | None | $33.88 | $38.90 | $51.29 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $28.18 | Professional | None | $15.14 | $19.95 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $33.11 Typical High $33.11 | Professional | None | $13.18 | $33.11 | $33.11 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.01 | $5.13 | $5.13 |
Where Maryland sits
The same service costs 3.7 times more in Alaska 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
$25.12
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.