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 $8.91 Median $9.12 Typical High $9.12 | Professional | None | $8.91 | $9.12 | $9.12 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $10.72 | Professional | None | $8.71 | $9.77 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $34.67 | Professional | None | $6.46 | $9.33 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $18.20 | Professional | None | $12.02 | $14.45 | $18.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.33 Typical High $23.99 | Professional | None | $7.24 | $9.33 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
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 $4.47 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.47 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.78 | $1.82 | $1.82 |
Where Maryland sits
The same service costs 3.2 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· 48th of 51
$9.77
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.