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 $19.50 Median $19.50 Typical High $20.89 | Professional | None | $19.50 | $19.50 | $20.89 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $23.44 | Professional | None | $15.14 | $20.89 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $95.50 | Professional | None | $20.89 | $25.70 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $38.90 | Professional | None | $26.30 | $31.62 | $38.90 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $51.29 | Professional | None | $15.85 | $20.89 | $51.29 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
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 $9.77 Typical High $10.47 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.17 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.17 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 50th 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.