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 $19.50 Median $31.62 Typical High $38.90 | Facility | None | $19.50 | $31.62 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $30.90 | Professional | None | $19.50 | $19.95 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $24.55 | Professional | None | $19.05 | $21.38 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $26.92 Typical High $77.62 | Professional | None | $14.45 | $26.92 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
United Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $52.48 | Professional | None | $15.85 | $23.99 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
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 $9.77 Median $10.00 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.37 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.37 |
Where Maryland sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 51st of 51
$21.38
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.