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 $38.02 Median $38.02 Typical High $61.66 | Facility | None | $38.02 | $38.02 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | None | $38.02 | $38.02 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $44.67 | Professional | None | $36.31 | $40.74 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $147.91 | Professional | None | $26.92 | $36.31 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | None | $51.29 | $61.66 | $77.62 |
United Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $102.33 | Professional | None | $30.90 | $36.31 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
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 $19.05 Median $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.59 | $7.76 | $7.76 |
Where Maryland sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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
$40.74
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.