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 $32.36 Median $33.11 Typical High $37.15 | Professional | None | $32.36 | $33.11 | $37.15 |
CareFirst Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $39.81 | Professional | None | $31.62 | $34.67 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $125.89 | Professional | None | $22.91 | $34.67 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $66.07 | Professional | None | $43.65 | $52.48 | $66.07 |
United Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $39.81 | Professional | None | $19.50 | $24.55 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $16.22 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.61 | $6.76 |
Where Maryland sits
The same service costs 3.5 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· 47th of 51
$33.11
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.