How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $60.26 Typical High $67.61 | Facility | None | $53.70 | $60.26 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $64.57 | Professional | None | $45.71 | $53.70 | $64.57 |
CareFirst Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $61.66 | Professional | None | $54.95 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $123.03 | Professional | None | $45.71 | $56.23 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $81.28 | Professional | None | $47.86 | $57.54 | $81.28 |
United Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $74.13 | Professional | None | $50.12 | $52.48 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $107.15 | Professional | None | $70.79 | $102.33 | $107.15 |
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 $60.26 Median $63.10 Typical High $69.18 | Facility | AF · Specialist physician | $60.26 | $63.10 | $69.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $44.67 Median $46.77 Typical High $51.29 | Facility | HO · Master's level | $44.67 | $46.77 | $51.29 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $51.29 Median $53.70 Typical High $58.88 | Facility | TD · Registered nurse | $51.29 | $53.70 | $58.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $60.26 Median $63.10 Typical High $69.18 | Professional | AF · Specialist physician | $60.26 | $63.10 | $69.18 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $44.67 Median $46.77 Typical High $51.29 | Professional | HO · Master's level | $44.67 | $46.77 | $51.29 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $51.29 Median $53.70 Typical High $58.88 | Professional | TD · Registered nurse | $51.29 | $53.70 | $58.88 |
Where Maryland sits
The same service costs 2.3 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· 45th of 51
$54.95
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.