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 Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $38.90 | Professional | None | $22.39 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $19.50 | Professional | 52 · Reduced service | $11.22 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $4.27 Typical High $5.89 | Professional | 55 · Aftercare only | $3.39 | $4.27 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.82 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.24 | $2.82 | $3.89 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $33.88 | Professional | None | $19.05 | $19.95 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $44.67 | Professional | None | $18.20 | $30.20 | $44.67 |
Johns Hopkins Employer Health Plan Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $63.10 | Professional | None | $28.84 | $42.66 | $63.10 |
United Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $50.12 | Professional | None | $19.50 | $29.51 | $50.12 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
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 CR · Disaster related Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | CR · Disaster related | $42.66 | $42.66 | $42.66 |
Where Maryland sits
The same service costs 2.8 times more in Alaska 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
$26.30
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.