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 $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | None | $25.70 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $15.49 Typical High $45.71 | Facility | None | $7.94 | $15.49 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $19.50 Typical High $61.66 | Professional | None | $7.94 | $19.50 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | None | $33.88 | $40.74 | $52.48 |
United Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $23.99 | Professional | None | $6.76 | $16.98 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $28.18 | Professional | None | $13.80 | $28.18 | $28.18 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Where Maryland sits
The same service costs 5.6 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· 27th of 51
$26.30
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.