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 $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
CareFirst Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | None | $21.38 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $12.88 Typical High $32.36 | Facility | None | $6.46 | $12.88 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $14.79 Typical High $25.70 | Professional | None | $6.76 | $14.79 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $37.15 | Professional | None | $23.99 | $28.84 | $37.15 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $27.54 | Professional | None | $8.32 | $15.14 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $37.15 | Professional | None | $9.77 | $9.77 | $37.15 |
2 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 Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Where Maryland sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 24th of 51
$21.38
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.