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 $10.23 Median $10.23 Typical High $14.13 | Professional | None | $10.23 | $10.23 | $14.13 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $10.47 | Professional | UE · Used equipment | $7.76 | $7.76 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $14.13 | Professional | None | $12.30 | $14.13 | $14.13 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.41 Typical High $1.41 | Professional | RR · Rental | $1.29 | $1.41 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | None | $11.22 | $11.22 | $13.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | RR · Rental | $0.83 | $0.83 | $0.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | UE · Used equipment | $6.31 | $6.31 | $6.31 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $21.88 | Professional | None | $14.45 | $16.22 | $21.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $17.38 | Professional | None | $7.41 | $10.00 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.76 Median $1.00 Typical High $1.74 | Professional | RR · Rental | $0.76 | $1.00 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $7.41 Typical High $13.18 | Professional | UE · Used equipment | $5.62 | $7.41 | $13.18 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $17.38 | Professional | None | $12.88 | $12.88 | $17.38 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | MS · Maintenance fee | $1.05 | $1.05 | $1.05 |
Where Maryland sits
The same service costs 2.7 times more in Kansas 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· 40th of 51
$12.88
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.