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 $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,071.52 | Professional | None | $794.33 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $758.58 Typical High $794.33 | Professional | UE · Used equipment | $575.44 | $758.58 | $794.33 |
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 $177.83 Median $1,479.11 Typical High $1,778.28 | Professional | None | $177.83 | $1,479.11 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $144.54 | Facility | RR · Rental | $112.20 | $112.20 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | RR · Rental | $95.50 | $95.50 | $112.20 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | RR · Rental | $169.82 | $169.82 | $181.97 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | RR · Rental | $181.97 | $181.97 | $181.97 |
Geisinger Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | None | $812.83 | $812.83 | $1,000.00 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | RR · Rental | $109.65 | $128.82 | $181.97 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | UE · Used equipment | $616.60 | $616.60 | $758.58 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Martin's Point Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | None | $1,023.29 | $1,023.29 | $1,071.52 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $794.33 | Professional | UE · Used equipment | $758.58 | $758.58 | $794.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $131.83 Median $776.25 Typical High $1,348.96 | Facility | RR · Rental | $131.83 | $776.25 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $131.83 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,621.81 | Professional | None | $676.08 | $891.25 | $1,621.81 |
United Setting Professional Modifier RR · Rental Typical Low $75.86 Median $104.71 Typical High $173.78 | Professional | RR · Rental | $75.86 | $104.71 | $173.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $676.08 Typical High $1,174.90 | Professional | UE · Used equipment | $501.19 | $676.08 | $1,174.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | NR · New when rented | $891.25 | $891.25 | $891.25 |
Where Pennsylvania sits
The same service costs 14.5 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· 37th of 51
$1,072
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.