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 Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
CareFirst Setting Professional Modifier None Typical Low $4.27 Median $4.68 Typical High $4.68 | Professional | None | $4.27 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $3.89 Typical High $7.59 | Facility | None | $2.88 | $3.89 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.79 Typical High $14.45 | Professional | None | $2.88 | $4.79 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.89 Median $6.76 Typical High $8.91 | Professional | None | $5.89 | $6.76 | $8.91 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $2.95 Typical High $4.47 | Professional | None | $2.51 | $2.95 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $2.29 Median $4.68 Typical High $4.68 | Professional | None | $2.29 | $4.68 | $4.68 |
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 $2.19 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Where Maryland sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 44th of 51
$4.37
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.