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 $245.47 Median $245.47 Typical High $363.08 | Professional | None | $245.47 | $245.47 | $363.08 |
Aetna Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $257.04 | Professional | UE · Used equipment | $186.21 | $186.21 | $257.04 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | None | $323.59 | $338.84 | $338.84 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $32.36 | $33.88 | $33.88 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $537.03 | Professional | None | $346.74 | $389.05 | $537.03 |
United Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $446.68 | Professional | None | $186.21 | $245.47 | $446.68 |
United Setting Professional Modifier RR · Rental Typical Low $18.62 Median $24.55 Typical High $44.67 | Professional | RR · Rental | $18.62 | $24.55 | $44.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $181.97 Typical High $331.13 | Professional | UE · Used equipment | $141.25 | $181.97 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | None | $316.23 | $316.23 | $416.87 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | MS · Maintenance fee | $24.55 | $24.55 | $24.55 |
Where Maryland sits
The same service costs 2.3 times more in Hawaii than in New Mexico. 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· 37th of 51
$324
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.