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 $6,606.93 Median $8,912.51 Typical High $11,481.54 | Professional | None | $6,606.93 | $8,912.51 | $11,481.54 |
CareFirst Setting Professional Modifier None Typical Low $1,071.52 Median $10,715.19 Typical High $12,302.69 | Professional | None | $1,071.52 | $10,715.19 | $12,302.69 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | RR · Rental | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,715.19 | Professional | None | $9,120.11 | $9,120.11 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | RR · Rental | $912.01 | $912.01 | $1,071.52 |
Johns Hopkins Employer Health Plan Setting Professional Modifier RR · Rental Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | RR · Rental | $1,778.28 | $1,778.28 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None | $12,882.50 | $12,882.50 | $12,882.50 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $9,332.54 | Professional | None | $4,073.80 | $5,754.40 | $9,332.54 |
United Setting Professional Modifier RR · Rental Typical Low $407.38 Median $851.14 Typical High $1,258.93 | Professional | RR · Rental | $407.38 | $851.14 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $15,135.61 | Professional | None | $11,220.18 | $11,220.18 | $15,135.61 |
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 $6,760.83 Median $6,760.83 Typical High $8,511.38 | Professional | UE · Used equipment | $6,760.83 | $6,760.83 | $8,511.38 |
Where Maryland sits
The same service costs 11.0 times more in North Dakota 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· 16th of 51
$10,233
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.