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 $51.29 Median $60.26 Typical High $69.18 | Facility | None | $51.29 | $60.26 | $69.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $31.62 | Facility | 52 · Reduced service | $25.70 | $26.92 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $12.59 | Facility | 53 · Discontinued | $10.23 | $10.96 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | None | $38.90 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $28.18 | Professional | 52 · Reduced service | $25.70 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $11.22 | Professional | 53 · Discontinued | $10.23 | $10.96 | $11.22 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $100.00 | Professional | None | $43.65 | $53.70 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $67.61 | Professional | None | $38.90 | $47.86 | $67.61 |
United Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $138.04 | Professional | None | $43.65 | $58.88 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $89.13 | Professional | None | $57.54 | $85.11 | $89.13 |
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 $51.29 Median $54.95 Typical High $60.26 | Facility | AF · Specialist physician | $51.29 | $54.95 | $60.26 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $38.02 Median $40.74 Typical High $44.67 | Facility | HO · Master's level | $38.02 | $40.74 | $44.67 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $43.65 Median $45.71 Typical High $51.29 | Facility | TD · Registered nurse | $43.65 | $45.71 | $51.29 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | AF · Specialist physician | $51.29 | $54.95 | $58.88 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $38.02 Median $40.74 Typical High $43.65 | Professional | HO · Master's level | $38.02 | $40.74 | $43.65 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $43.65 Median $45.71 Typical High $50.12 | Professional | TD · Registered nurse | $43.65 | $45.71 | $50.12 |
Where Maryland sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 48th of 51
$46.77
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.