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 $25.70 Median $35.48 Typical High $51.29 | Facility | None | $25.70 | $35.48 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $33.11 | Professional | None | $20.89 | $26.30 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $34.67 | Professional | None | $25.12 | $28.18 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $102.33 | Professional | None | $19.05 | $30.20 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | None | $35.48 | $41.69 | $52.48 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $32.36 | Professional | None | $15.85 | $20.42 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
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 $12.88 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $12.88 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.62 |
Where Maryland sits
The same service costs 3.0 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
$26.30
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.