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 $17.78 Median $18.20 Typical High $18.20 | Professional | None | $17.78 | $18.20 | $18.20 |
CareFirst Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $19.05 | Professional | None | $16.22 | $17.38 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $69.18 | Professional | None | $8.71 | $17.38 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $36.31 | Professional | None | $22.91 | $28.84 | $36.31 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.98 Typical High $43.65 | Professional | None | $9.55 | $16.98 | $43.65 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
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 $8.91 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.55 | $3.63 | $3.63 |
Where Maryland sits
The same service costs 8.9 times more in Texas 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· 46th of 51
$18.20
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.