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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None (both parts) | $27.54 | $27.54 | $28.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.20 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $24.55 | $28.84 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $41.69 Typical High $58.88 | Professional | None | $33.88 | $41.69 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $27.54 | $38.90 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $60.26 | Professional | None (both parts) | $42.66 | $56.23 | $60.26 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Where Maryland sits
The same service costs 3.0 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· 43rd of 51
$30.20
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.