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 $38.02 Median $38.90 Typical High $41.69 | Professional | None | $38.02 | $38.90 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | None | $37.15 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $147.91 | Professional | None | $28.18 | $40.74 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | None | $51.29 | $61.66 | $77.62 |
United Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $47.86 | Professional | None | $22.91 | $28.18 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.76 | $8.32 |
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· 47th of 51
$38.90
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.