How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Facility | None | $371.54 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | None | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | UE · Used equipment | $281.84 | $281.84 | $295.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $66.07 Median $537.03 Typical High $660.69 | Professional | None | $66.07 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | RR · Rental | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None | $128.82 | $128.82 | $151.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | RR · Rental | $12.88 | $12.88 | $15.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | RR · Rental | $61.66 | $61.66 | $67.61 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | RR · Rental | $67.61 | $67.61 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $40.74 Median $46.77 Typical High $67.61 | Professional | RR · Rental | $40.74 | $46.77 | $67.61 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | UE · Used equipment | $239.88 | $239.88 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | None | $371.54 | $371.54 | $389.05 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | UE · Used equipment | $281.84 | $281.84 | $295.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $48.98 Median $288.40 Typical High $501.19 | Facility | RR · Rental | $48.98 | $288.40 | $501.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | RR · Rental | $48.98 | $50.12 | $52.48 |
United Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $588.84 | Professional | None | $234.42 | $288.40 | $588.84 |
United Setting Professional Modifier RR · Rental Typical Low $28.18 Median $39.81 Typical High $67.61 | Professional | RR · Rental | $28.18 | $39.81 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $208.93 Typical High $371.54 | Professional | UE · Used equipment | $173.78 | $208.93 | $371.54 |
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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | KR · Partial-month rental | $2.19 | $2.19 | $2.19 |
Where Pennsylvania sits
The same service costs 15.1 times more in North Dakota 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.
Pennsylvania· 32nd of 51
$372
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.