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 $2,238.72 Median $2,344.23 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,344.23 | $3,162.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,584.89 Median $1,778.28 Typical High $2,398.83 | Professional | UE · Used equipment | $1,584.89 | $1,778.28 | $2,398.83 |
CareFirst Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,290.87 | Facility | None | $2,187.76 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,862.09 | $2,187.76 |
Cigna Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $6,456.54 | Professional | None | $4,466.84 | $5,011.87 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,344.23 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $181.97 Median $234.42 Typical High $407.38 | Professional | RR · Rental | $181.97 | $234.42 | $407.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,778.28 Typical High $3,090.30 | Professional | UE · Used equipment | $1,348.96 | $1,778.28 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,754.23 | $2,754.23 | $3,981.07 |
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 KU · Bidding program group 3 + RR · Rental Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | KU · Bidding program group 3 + RR · Rental | $501.19 | $501.19 | $501.19 |
Where Maryland sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 27th of 51
$2,754
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.