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 $302.00 Median $354.81 Typical High $501.19 | Professional | None | $302.00 | $354.81 | $501.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $371.54 | Professional | UE · Used equipment | $269.15 | $269.15 | $371.54 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $645.65 Typical High $660.69 | Professional | None | $66.07 | $645.65 | $660.69 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | RR · Rental | $64.57 | $64.57 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None | $389.05 | $389.05 | $457.09 |
Cigna Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $891.25 | Professional | None | $588.84 | $676.08 | $891.25 |
United Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $758.58 | Professional | None | $295.12 | $363.08 | $758.58 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $40.74 Typical High $79.43 | Professional | RR · Rental | $34.67 | $40.74 | $79.43 |
United Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $275.42 Typical High $575.44 | Professional | UE · Used equipment | $218.78 | $275.42 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $616.60 | Professional | None | $537.03 | $616.60 | $616.60 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | KU · Bidding program group 3 + RR · Rental | $97.72 | $97.72 | $97.72 |
Where Maryland sits
The same service costs 2.9 times more in Hawaii than in Montana. 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
$501
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.