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 $128.82 Median $131.83 Typical High $144.54 | Professional | None | $128.82 | $131.83 | $144.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $758.58 Typical High $758.58 | Professional | None | $20.89 | $758.58 | $758.58 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | RR · Rental | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | None | $331.13 | $331.13 | $338.84 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $18.20 Median $21.38 Typical High $31.62 | Professional | RR · Rental | $18.20 | $21.38 | $31.62 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $128.82 | Professional | None | $11.75 | $11.75 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $12.02 Median $17.38 Typical High $24.55 | Professional | RR · Rental | $12.02 | $17.38 | $24.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $114.82 Typical High $190.55 | Professional | UE · Used equipment | $61.66 | $114.82 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
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 |
|---|---|---|---|---|---|
Johns Hopkins Employer Health Plan Setting Professional Modifier QB · Oxygen over 4 L/min + portable + RR · Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | QB · Oxygen over 4 L/min + portable + RR · Rental | $47.86 | $47.86 | $47.86 |
Where Maryland sits
The same service costs 12.3 times more in Wyoming than in Illinois. 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· 20th of 51
$126
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.