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 $37.15 Median $38.02 Typical High $38.02 | Professional | None | $37.15 | $38.02 | $38.02 |
CareFirst Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $40.74 | Professional | None | $33.88 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $33.11 Typical High $144.54 | Professional | None | $9.33 | $33.11 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $75.86 | Professional | None | $50.12 | $60.26 | $75.86 |
United Setting Professional Modifier None Typical Low $10.47 Median $33.11 Typical High $91.20 | Professional | None | $10.47 | $33.11 | $91.20 |
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 $18.62 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $7.41 | $7.59 | $7.76 |
Where Maryland sits
The same service costs 10.2 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· 36th of 51
$38.02
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.