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 $660.69 Median $691.83 Typical High $891.25 | Professional | None | $660.69 | $691.83 | $891.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
CareFirst Setting Professional Modifier None Typical Low $85.11 Median $3,090.30 Typical High $3,090.30 | Professional | None | $85.11 | $3,090.30 | $3,090.30 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $95.50 | Facility | RR · Rental | $67.61 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $933.25 | Professional | None | $72.44 | $72.44 | $933.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $81.28 Median $95.50 Typical High $162.18 | Professional | RR · Rental | $81.28 | $95.50 | $162.18 |
United Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $147.91 | Professional | None | $61.66 | $81.28 | $147.91 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $81.28 Typical High $177.83 | Professional | RR · Rental | $63.10 | $81.28 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | QB · Oxygen over 4 L/min + portable + RR · Rental | $95.50 | $95.50 | $95.50 |
Where Maryland sits
The same service costs 22.4 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
$661
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.