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 $57.54 Median $83.18 Typical High $100.00 | Facility | None | $57.54 | $83.18 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | None | $63.10 | $74.13 | $87.10 |
CareFirst Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $114.82 | Professional | None | $77.62 | $81.28 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $138.04 | Professional | None | $74.13 | $95.50 | $138.04 |
United Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $123.03 | Professional | None | $77.62 | $93.33 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $83.18 Median $83.18 Typical High $95.50 | Facility | AF · Specialist physician | $83.18 | $83.18 | $95.50 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $61.66 Median $63.10 Typical High $72.44 | Facility | HO · Master's level | $61.66 | $63.10 | $72.44 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $70.79 Median $70.79 Typical High $81.28 | Facility | TD · Registered nurse | $70.79 | $70.79 | $81.28 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $83.18 Median $85.11 Typical High $95.50 | Professional | AF · Specialist physician | $83.18 | $85.11 | $95.50 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | HO · Master's level | $61.66 | $64.57 | $72.44 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $70.79 Median $74.13 Typical High $81.28 | Professional | TD · Registered nurse | $70.79 | $74.13 | $81.28 |
Where Maryland sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 41st of 51
$83.18
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.