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 $83.18 Median $93.33 Typical High $109.65 | Facility | None | $83.18 | $93.33 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $87.10 | Professional | None | $54.95 | $70.79 | $87.10 |
CareFirst Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | None | $81.28 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $104.71 | Professional | None | $70.79 | $77.62 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $112.20 | Professional | None | $63.10 | $77.62 | $112.20 |
United Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $169.82 | Professional | None | $72.44 | $97.72 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
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 $72.44 Median $85.11 Typical High $93.33 | Facility | AF · Specialist physician | $72.44 | $85.11 | $93.33 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $53.70 Median $63.10 Typical High $69.18 | Facility | HO · Master's level | $53.70 | $63.10 | $69.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $61.66 Median $70.79 Typical High $79.43 | Facility | TD · Registered nurse | $61.66 | $70.79 | $79.43 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $72.44 Median $83.18 Typical High $91.20 | Professional | AF · Specialist physician | $72.44 | $83.18 | $91.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $53.70 Median $61.66 Typical High $67.61 | Professional | HO · Master's level | $53.70 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $61.66 Median $70.79 Typical High $75.86 | Professional | TD · Registered nurse | $61.66 | $70.79 | $75.86 |
Where Maryland sits
The same service costs 2.2 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· 50th of 51
$74.13
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.