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 $3,467.37 Median $3,548.13 Typical High $4,466.84 | Professional | None | $3,467.37 | $3,548.13 | $4,466.84 |
CareFirst Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,456.54 | Professional | None | $6,165.95 | $6,165.95 | $6,456.54 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | RR · Rental | $616.60 | $616.60 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,630.78 | $3,630.78 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | RR · Rental | $363.08 | $363.08 | $426.58 |
Johns Hopkins Employer Health Plan Setting Professional Modifier RR · Rental Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | RR · Rental | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,511.89 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $354.81 Typical High $524.81 | Professional | RR · Rental | $218.78 | $354.81 | $524.81 |
Wellpoint Setting Professional Modifier None Typical Low $5,128.61 Median $6,025.60 Typical High $6,025.60 | Professional | None | $5,128.61 | $6,025.60 | $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 UE · Used equipment Typical Low $2,570.40 Median $2,570.40 Typical High $3,311.31 | Professional | UE · Used equipment | $2,570.40 | $2,570.40 | $3,311.31 |
Where Maryland sits
The same service costs 11.0 times more in Kansas than in Illinois. 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· 14th of 51
$4,266
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.