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 $891.25 Median $933.25 Typical High $1,258.93 | Professional | None | $891.25 | $933.25 | $1,258.93 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | UE · Used equipment | $691.83 | $691.83 | $954.99 |
CareFirst Setting Professional Modifier None Typical Low $123.03 Median $1,230.27 Typical High $1,258.93 | Professional | None | $123.03 | $1,230.27 | $1,258.93 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $123.03 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None | $426.58 | $426.58 | $501.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | UE · Used equipment | $1,174.90 | $1,174.90 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,778.28 | $2,089.30 | $2,754.23 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $2,238.72 | Professional | None | $891.25 | $1,096.48 | $2,238.72 |
United Setting Professional Modifier RR · Rental Typical Low $89.13 Median $109.65 Typical High $223.87 | Professional | RR · Rental | $89.13 | $109.65 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $812.83 Typical High $1,659.59 | Professional | UE · Used equipment | $676.08 | $812.83 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,230.27 | $1,584.89 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | KU · Bidding program group 3 + RR · Rental | $316.23 | $316.23 | $316.23 |
Where Maryland sits
The same service costs 7.6 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· 27th of 51
$1,230
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.