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 $30.90 Typical High $33.11 | Professional | None | $30.90 | $30.90 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $37.15 | Professional | None | $30.20 | $33.11 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $120.23 | Professional | None | $21.88 | $32.36 | $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 $18.20 Median $21.38 Typical High $37.15 | Professional | None | $18.20 | $21.38 | $37.15 |
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 $15.49 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.31 | $6.61 |
Where Maryland sits
The same service costs 3.3 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· 48th of 51
$30.90
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.