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 $2,238.72 Median $3,548.13 Typical High $5,011.87 | Professional | None | $2,238.72 | $3,548.13 | $5,011.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,691.53 Median $2,754.23 Typical High $3,801.89 | Professional | UE · Used equipment | $2,691.53 | $2,754.23 | $3,801.89 |
CareFirst Setting Professional Modifier None Typical Low $436.52 Median $4,365.16 Typical High $5,011.87 | Professional | None | $436.52 | $4,365.16 | $5,011.87 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | RR · Rental | $436.52 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Professional | None | $4,365.16 | $4,365.16 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | RR · Rental | $436.52 | $436.52 | $512.86 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $3,981.07 |
Johns Hopkins Employer Health Plan Setting Professional Modifier RR · Rental Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | RR · Rental | $707.95 | $707.95 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $7,943.28 | Professional | None | $5,754.40 | $6,760.83 | $7,943.28 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $5,248.07 | Professional | None | $2,137.96 | $2,630.27 | $5,248.07 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $354.81 Typical High $588.84 | Professional | RR · Rental | $263.03 | $354.81 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,025.60 | Professional | None | $4,897.79 | $4,897.79 | $6,025.60 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Where Maryland sits
The same service costs 12.6 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· 27th of 51
$4,365
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.