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 $831.76 Median $870.96 Typical High $1,174.90 | Professional | None | $831.76 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | UE · Used equipment | $645.65 | $645.65 | $891.25 |
CareFirst Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,862.09 | $2,454.71 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $2,344.23 | Professional | None | $831.76 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $83.18 Median $114.82 Typical High $234.42 | Professional | RR · Rental | $83.18 | $114.82 | $234.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $870.96 Typical High $1,778.28 | Professional | UE · Used equipment | $630.96 | $870.96 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
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 KC · Wheelchair interface replaced + RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KC · Wheelchair interface replaced + RR · Rental | $338.84 | $338.84 | $338.84 |
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· 23rd of 51
$1,202
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.