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 $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
CareFirst Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $10.72 | Professional | None | $9.77 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $8.91 Typical High $17.38 | Facility | None | $7.08 | $8.91 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $33.11 | Professional | None | $7.08 | $12.88 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $19.95 | Professional | None | $13.49 | $15.49 | $19.95 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $11.22 | Professional | None | $6.03 | $7.08 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $11.75 | Professional | None | $5.25 | $11.75 | $11.75 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Where Maryland sits
The same service costs 4.1 times more in Kansas than in New Jersey. 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· 48th of 51
$10.00
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.