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 $186.21 Median $245.47 Typical High $323.59 | Professional | None | $186.21 | $245.47 | $323.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $181.97 Typical High $245.47 | Professional | UE · Used equipment | $177.83 | $181.97 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $302.00 Typical High $363.08 | Professional | None | $30.20 | $302.00 | $363.08 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $389.05 | Facility | None | $257.04 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | None | $218.78 | $218.78 | $257.04 |
Cigna Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | RR · Rental | $21.88 | $21.88 | $25.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $416.87 | Professional | None | $257.04 | $302.00 | $416.87 |
United Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $389.05 | Professional | None | $165.96 | $223.87 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $19.95 Median $27.54 Typical High $44.67 | Professional | RR · Rental | $19.95 | $27.54 | $44.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $169.82 Typical High $295.12 | Professional | UE · Used equipment | $125.89 | $169.82 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | None | $371.54 | $380.19 | $380.19 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KU · Bidding program group 3 + RR · Rental | $64.57 | $64.57 | $64.57 |
Where Maryland sits
The same service costs 11.5 times more in Kansas 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· 30th of 51
$263
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.