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 Facility Modifier None Typical Low $15.14 Median $18.62 Typical High $24.55 | Facility | None | $15.14 | $18.62 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $23.44 | Professional | None | $11.22 | $15.14 | $23.44 |
CareFirst Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $21.88 | Professional | None | $14.45 | $16.22 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $20.42 Typical High $58.88 | Professional | None | $11.22 | $20.42 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $30.20 | Professional | None | $20.42 | $24.55 | $30.20 |
United Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $39.81 | Professional | None | $12.02 | $18.20 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $7.59 Median $7.59 Typical High $8.32 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.31 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.31 |
Where Maryland sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 48th of 51
$16.22
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.