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 $12.88 Median $12.88 Typical High $14.13 | Professional | None | $12.88 | $12.88 | $14.13 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $14.45 | Professional | None | $12.88 | $13.18 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $51.29 | Professional | None | $7.76 | $14.45 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $27.54 | Professional | None | $17.78 | $22.39 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $29.51 | Professional | None | $9.12 | $11.48 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
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 $6.46 Median $6.46 Typical High $7.08 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.82 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.82 |
Where Maryland sits
The same service costs 5.0 times more in Alaska than in New Jersey. 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· 47th of 51
$13.18
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.