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 $398.11 Median $416.87 Typical High $416.87 | Facility | None | $398.11 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | UE · Used equipment | $295.12 | $295.12 | $309.03 |
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 $575.44 Median $575.44 Typical High $691.83 | Professional | None | $575.44 | $575.44 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | None | $218.78 | $218.78 | $257.04 |
Cigna Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | RR · Rental | $66.07 | $66.07 | $72.44 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | RR · Rental | $72.44 | $72.44 | $72.44 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | None | $346.74 | $346.74 | $426.58 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $42.66 Median $50.12 Typical High $72.44 | Professional | RR · Rental | $42.66 | $50.12 | $72.44 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | UE · Used equipment | $257.04 | $257.04 | $316.23 |
Martin's Point Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Martin's Point Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | UE · Used equipment | $295.12 | $295.12 | $309.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $51.29 Median $309.03 Typical High $524.81 | Facility | RR · Rental | $51.29 | $309.03 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $51.29 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $562.34 | Professional | None | $251.19 | $316.23 | $562.34 |
United Setting Professional Modifier RR · Rental Typical Low $31.62 Median $42.66 Typical High $70.79 | Professional | RR · Rental | $31.62 | $42.66 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $239.88 Typical High $426.58 | Professional | UE · Used equipment | $199.53 | $239.88 | $426.58 |
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 $2.34 Median $2.34 Typical High $2.34 | Professional | KR · Partial-month rental | $2.34 | $2.34 | $2.34 |
Where Pennsylvania sits
The same service costs 14.8 times more in Minnesota 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
$398
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.