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 $234.42 Median $263.03 Typical High $363.08 | Professional | None | $234.42 | $263.03 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | UE · Used equipment | $199.53 | $199.53 | $269.15 |
CareFirst Setting Professional Modifier None Typical Low $43.65 Median $436.52 Typical High $436.52 | Professional | None | $43.65 | $436.52 | $436.52 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | None | $275.42 | $275.42 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | RR · Rental | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $602.56 | Professional | None | $338.84 | $389.05 | $602.56 |
United Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $512.86 | Professional | None | $213.80 | $275.42 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $28.84 Typical High $51.29 | Professional | RR · Rental | $22.91 | $28.84 | $51.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $208.93 Typical High $389.05 | Professional | UE · Used equipment | $158.49 | $208.93 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | None | $398.11 | $398.11 | $407.38 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | KU · Bidding program group 3 + RR · Rental | $63.10 | $63.10 | $63.10 |
Where Maryland sits
The same service costs 2.7 times more in Hawaii than in Illinois. 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· 31st of 51
$331
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.