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 $234.42 Median $251.19 Typical High $251.19 | Professional | None | $234.42 | $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 $28.84 Median $1,047.13 Typical High $1,047.13 | Professional | None | $28.84 | $1,047.13 | $1,047.13 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Facility | RR · Rental | $34.67 | $34.67 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
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 $23.99 Median $26.92 Typical High $40.74 | Professional | None | $23.99 | $26.92 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $30.20 Typical High $43.65 | Professional | RR · Rental | $23.44 | $30.20 | $43.65 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | QB · Oxygen over 4 L/min + portable + RR · Rental | $50.12 | $50.12 | $50.12 |
Where Maryland sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 37th of 51
$234
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.