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 $645.65 Median $691.83 Typical High $933.25 | Professional | None | $645.65 | $691.83 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $512.86 Typical High $691.83 | Professional | UE · Used equipment | $457.09 | $512.86 | $691.83 |
CareFirst Setting Professional Modifier None Typical Low $100.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $100.00 | $1,000.00 | $1,000.00 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $870.96 | Professional | None | $741.31 | $741.31 | $870.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | RR · Rental | $74.13 | $74.13 | $87.10 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $870.96 | $870.96 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,479.11 | $1,905.46 |
United Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $1,202.26 | Professional | None | $524.81 | $676.08 | $1,202.26 |
United Setting Professional Modifier RR · Rental Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | RR · Rental | $52.48 | $67.61 | $120.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $512.86 Typical High $891.25 | Professional | UE · Used equipment | $389.05 | $512.86 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | None | $891.25 | $891.25 | $1,148.15 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | KU · Bidding program group 3 + RR · Rental | $144.54 | $144.54 | $144.54 |
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· 35th of 51
$871
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.