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 $23.99 Median $24.55 Typical High $26.92 | Professional | None | $23.99 | $24.55 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | None | $23.44 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $21.38 Typical High $42.66 | Facility | None | $15.85 | $21.38 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $30.90 Typical High $81.28 | Professional | None | $16.98 | $30.90 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $48.98 | Professional | None | $33.11 | $38.02 | $48.98 |
United Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $25.12 | Professional | None | $13.80 | $16.22 | $25.12 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
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 $12.02 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.02 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.79 | $4.90 | $4.90 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 45th of 51
$24.55
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.