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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $27.54 | Professional | None | $24.55 | $25.12 | $27.54 |
CareFirst Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $27.54 | Professional | None | $23.99 | $26.92 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $95.50 | Professional | None | $17.38 | $24.55 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $50.12 | Professional | None | $33.11 | $39.81 | $50.12 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $63.10 | Professional | None | $19.95 | $23.99 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
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 $12.30 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.13 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.13 |
Where Maryland sits
The same service costs 5.6 times more in Kansas 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
$26.92
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.