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 $6,165.95 Median $8,511.38 Typical High $10,715.19 | Professional | None | $6,165.95 | $8,511.38 | $10,715.19 |
CareFirst Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None | $11,481.54 | $11,481.54 | $11,481.54 |
CareFirst Setting Professional Modifier RR · Rental Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | RR · Rental | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $10,000.00 | Professional | None | $8,511.38 | $8,511.38 | $10,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | RR · Rental | $851.14 | $851.14 | $1,000.00 |
Johns Hopkins Employer Health Plan Setting Professional Modifier RR · Rental Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | RR · Rental | $1,659.59 | $1,659.59 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None | $12,302.69 | $12,302.69 | $12,302.69 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $5,495.41 Typical High $8,912.51 | Professional | None | $3,801.89 | $5,495.41 | $8,912.51 |
United Setting Professional Modifier RR · Rental Typical Low $389.05 Median $812.83 Typical High $1,202.26 | Professional | RR · Rental | $389.05 | $812.83 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $14,125.38 | Professional | None | $10,471.29 | $10,471.29 | $14,125.38 |
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 UE · Used equipment Typical Low $6,309.57 Median $6,309.57 Typical High $8,128.31 | Professional | UE · Used equipment | $6,309.57 | $6,309.57 | $8,128.31 |
Where Maryland sits
The same service costs 10.7 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· 13th of 51
$10,000
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.