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 Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $45.71 Typical High $56.23 | Professional | None | $19.50 | $45.71 | $56.23 |
CareFirst Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $31.62 | Facility | None | $18.62 | $24.55 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $61.66 | Professional | None | $19.05 | $33.88 | $61.66 |
Johns Hopkins Employer Health Plan Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | None | $33.88 | $40.74 | $52.48 |
United Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $30.20 | Professional | None | $17.78 | $20.42 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $13.80 Median $45.71 Typical High $45.71 | Professional | None | $13.80 | $45.71 | $45.71 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Maryland sits
The same service costs 4.5 times more in Alaska 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· 40th of 51
$35.48
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.