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 $234.42 Typical High $331.13 | Professional | None | $234.42 | $234.42 | $331.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | UE · Used equipment | $177.83 | $177.83 | $245.47 |
CareFirst Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
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 $281.84 Median $281.84 Typical High $331.13 | Professional | None | $281.84 | $281.84 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | RR · Rental | $28.18 | $28.18 | $33.11 |
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 $398.11 Typical High $524.81 | Professional | None | $338.84 | $398.11 | $524.81 |
United Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $446.68 | Professional | None | $199.53 | $281.84 | $446.68 |
United Setting Professional Modifier RR · Rental Typical Low $19.95 Median $25.70 Typical High $44.67 | Professional | RR · Rental | $19.95 | $25.70 | $44.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $208.93 Typical High $338.84 | Professional | UE · Used equipment | $151.36 | $208.93 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None | $346.74 | $346.74 | $363.08 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | KU · Bidding program group 3 + RR · Rental | $54.95 | $54.95 | $54.95 |
Where Maryland sits
The same service costs 2.4 times more in Hawaii than in Utah. 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· 25th of 51
$347
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.