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 $15.49 Median $16.22 Typical High $16.22 | Professional | None | $15.49 | $16.22 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $23.99 | Professional | None | $17.78 | $19.50 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $25.70 | Professional | None | $14.79 | $16.98 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $27.54 | Professional | None | $16.98 | $19.50 | $27.54 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $30.20 | Professional | None | $11.75 | $14.45 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $23.99 | Professional | None | $12.02 | $12.02 | $23.99 |
4 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 $7.76 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $7.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.34 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.58 | $1.62 | $1.62 |
Where Maryland sits
The same service costs 3.2 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· 40th of 51
$16.98
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.