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 $114.82 Median $131.83 Typical High $154.88 | Facility | None | $114.82 | $131.83 | $154.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $70.79 | Facility | 52 · Reduced service | $56.23 | $57.54 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Facility | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | None | $85.11 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $23.44 | $23.44 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $229.09 | Professional | None | $104.71 | $120.23 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $151.36 | Professional | None | $89.13 | $109.65 | $151.36 |
United Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $154.88 | Professional | None | $100.00 | $104.71 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
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 $112.20 Median $114.82 Typical High $131.83 | Facility | AF · Specialist physician | $112.20 | $114.82 | $131.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $97.72 | Facility | HO · Master's level | $85.11 | $85.11 | $97.72 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $95.50 Median $97.72 Typical High $109.65 | Facility | TD · Registered nurse | $95.50 | $97.72 | $109.65 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $112.20 Median $117.49 Typical High $125.89 | Professional | AF · Specialist physician | $112.20 | $117.49 | $125.89 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $87.10 Typical High $95.50 | Professional | HO · Master's level | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $95.50 Median $100.00 Typical High $107.15 | Professional | TD · Registered nurse | $95.50 | $100.00 | $107.15 |
Where Maryland sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 45th of 51
$115
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.