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 $18.62 Median $18.62 Typical High $25.12 | Facility | None | $18.62 | $18.62 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $18.20 | Professional | None | $14.79 | $15.14 | $18.20 |
CareFirst Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $20.42 | Professional | None | $14.45 | $16.22 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $57.54 | Professional | None | $10.96 | $16.98 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | None | $19.95 | $23.99 | $30.20 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $18.62 | Professional | None | $9.12 | $12.02 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
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 $7.41 Median $7.59 Typical High $8.13 | Professional | 52 · Reduced service | $7.41 | $7.59 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.02 Typical High $3.24 | Professional | 53 · Discontinued | $2.95 | $3.02 | $3.24 |
Where Maryland sits
The same service costs 4.3 times more in Alaska than in Alabama. 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
$15.14
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.