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 Facility Modifier None Typical Low $9.77 Median $11.48 Typical High $13.49 | Facility | None | $9.77 | $11.48 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $13.80 | Professional | None | $8.71 | $11.22 | $13.80 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $17.38 | Professional | None | $10.00 | $12.02 | $17.38 |
United Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $16.22 | Professional | None | $10.23 | $11.75 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $22.91 | Professional | None | $15.14 | $22.39 | $22.91 |
6 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 Facility Modifier AF · Specialist physician Typical Low $11.48 Median $13.18 Typical High $14.45 | Facility | AF · Specialist physician | $11.48 | $13.18 | $14.45 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $8.71 Median $9.77 Typical High $10.72 | Facility | HO · Master's level | $8.71 | $9.77 | $10.72 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $9.77 Median $11.22 Typical High $12.30 | Facility | TD · Registered nurse | $9.77 | $11.22 | $12.30 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $11.48 Median $12.59 Typical High $14.13 | Professional | AF · Specialist physician | $11.48 | $12.59 | $14.13 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $8.71 Median $9.55 Typical High $10.72 | Professional | HO · Master's level | $8.71 | $9.55 | $10.72 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $9.77 Median $10.72 Typical High $12.02 | Professional | TD · Registered nurse | $9.77 | $10.72 | $12.02 |
Where Maryland sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 32nd of 51
$11.75
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.