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 Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | None | $11.75 | $12.02 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | None | $11.48 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $10.47 Typical High $20.89 | Facility | None | $7.94 | $10.47 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $39.81 | Professional | None | $7.94 | $13.18 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $23.99 | Professional | None | $15.85 | $18.20 | $23.99 |
United Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $13.49 | Professional | None | $6.76 | $7.94 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $6.31 Median $12.59 Typical High $12.59 | Professional | None | $6.31 | $12.59 | $12.59 |
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 $5.89 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $5.89 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $2.34 | $2.40 | $2.40 |
Where Maryland sits
The same service costs 3.5 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· 46th of 51
$12.02
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.