How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $31.62 Median $32.36 Typical High $34.67 | Professional | None | $31.62 | $32.36 | $34.67 |
CareFirst Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | None | $30.90 | $34.67 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $123.03 | Professional | None | $23.44 | $36.31 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | None | $42.66 | $51.29 | $64.57 |
United Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $38.90 | Professional | None | $16.60 | $21.38 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $15.85 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.46 | $6.92 |
Where Maryland sits
The same service costs 3.3 times more in Alaska than in Delaware. 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
$32.36
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.