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 $25.70 Median $44.67 Typical High $52.48 | Facility | None | $25.70 | $44.67 | $52.48 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $22.39 | Facility | 52 · Reduced service | $10.47 | $13.18 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $8.91 | Facility | 53 · Discontinued | $4.17 | $5.25 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $29.51 Typical High $40.74 | Professional | None | $16.22 | $29.51 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $16.98 Typical High $20.42 | Professional | 52 · Reduced service | $10.47 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $6.76 Typical High $8.13 | Professional | 53 · Discontinued | $4.17 | $6.76 | $8.13 |
CareFirst Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | None | $24.55 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $54.95 | Professional | None | $36.31 | $51.29 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $53.70 | Professional | None | $21.38 | $34.67 | $53.70 |
United Setting Professional Modifier None Typical Low $21.88 Median $44.67 Typical High $66.07 | Professional | None | $21.88 | $44.67 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $20.89 Median $26.30 Typical High $42.66 | Facility | AF · Specialist physician | $20.89 | $26.30 | $42.66 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $15.85 Median $19.50 Typical High $32.36 | Facility | HO · Master's level | $15.85 | $19.50 | $32.36 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $17.78 Median $22.39 Typical High $36.31 | Facility | TD · Registered nurse | $17.78 | $22.39 | $36.31 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $20.89 Median $23.99 Typical High $42.66 | Professional | AF · Specialist physician | $20.89 | $23.99 | $42.66 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $15.85 Median $18.20 Typical High $32.36 | Professional | HO · Master's level | $15.85 | $18.20 | $32.36 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $17.78 Median $20.42 Typical High $36.31 | Professional | TD · Registered nurse | $17.78 | $20.42 | $36.31 |
Where Maryland sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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
$26.92
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.