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 $30.90 Median $31.62 Typical High $33.88 | Professional | None | $30.90 | $31.62 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | None | $30.20 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $120.23 | Professional | None | $22.91 | $35.48 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $63.10 | Professional | None | $41.69 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $37.15 | Professional | None | $16.60 | $20.89 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
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 $15.49 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $6.76 | Professional | 53 · Discontinued | $6.17 | $6.31 | $6.76 |
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
$31.62
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.