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 $22.91 Median $23.44 Typical High $23.99 | Professional | None | $22.91 | $23.44 | $23.99 |
CareFirst Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $25.12 | Professional | None | $22.39 | $23.99 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $89.13 | Professional | None | $14.79 | $22.39 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $46.77 | Professional | None | $30.90 | $37.15 | $46.77 |
United Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $27.54 | Professional | None | $11.75 | $15.49 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
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 $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.79 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 47th of 51
$22.91
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.