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 $8.71 Median $12.02 Typical High $17.38 | Facility | None | $8.71 | $12.02 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.71 Median $9.12 Typical High $10.47 | Professional | None (both parts) | $8.71 | $9.12 | $10.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | None (both parts) | $11.75 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.76 Median $9.12 Typical High $19.95 | Professional | None (both parts) | $7.76 | $9.12 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $19.05 | Professional | None | $11.22 | $13.49 | $19.05 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $13.49 Typical High $18.62 | Professional | None (both parts) | $10.00 | $13.49 | $18.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $13.80 Median $18.20 Typical High $19.50 | Professional | None (both parts) | $13.80 | $18.20 | $19.50 |
1 more rate 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 |
|---|---|---|---|---|---|
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
Where Maryland sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 38th of 51
$11.75
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.