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 Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | None | $144.54 | $251.19 | $251.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $190.55 | $190.55 | $190.55 |
CareFirst Setting Professional Modifier None Typical Low $27.54 Median $1,000.00 Typical High $1,000.00 | Professional | None | $27.54 | $1,000.00 | $1,000.00 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | RR · Rental | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $371.54 | Professional | None | $35.48 | $35.48 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $41.69 Median $50.12 Typical High $70.79 | Professional | RR · Rental | $41.69 | $50.12 | $70.79 |
United Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $31.62 | Professional | None | $21.38 | $26.30 | $31.62 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $22.39 Typical High $28.84 | Professional | RR · Rental | $17.38 | $22.39 | $28.84 |
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 QF · Oxygen over 4 L/min at rest + portable + RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QF · Oxygen over 4 L/min at rest + portable + RR · Rental | $50.12 | $50.12 | $50.12 |
Where Maryland sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 21st of 51
$145
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.