How much rates vary
Facilitymedian $129 · 10th to 90th $120 to $1,585Professionalmedian $112 · 10th to 90th $89 to $174
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 $95.50 Median $100.00 Typical High $100.00 | Facility | None | $95.50 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $100.00 | Professional | None | $79.43 | $95.50 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $58.88 | $70.79 | $75.86 |
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 $16.60 Median $138.04 Typical High $165.96 | Professional | None | $16.60 | $138.04 | $165.96 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | UE · Used equipment | $102.33 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | RR · Rental | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $169.82 | Professional | None | $109.65 | $158.49 | $169.82 |
Geisinger Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | None | $102.33 | $120.23 | $169.82 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $10.23 Median $12.02 Typical High $16.98 | Professional | RR · Rental | $10.23 | $12.02 | $16.98 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $89.13 Typical High $128.82 | Professional | UE · Used equipment | $75.86 | $89.13 | $128.82 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | RR · Rental | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $100.00 | Professional | None | $89.13 | $95.50 | $100.00 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $70.79 Typical High $75.86 | Professional | UE · Used equipment | $66.07 | $70.79 | $75.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $758.58 Typical High $1,318.26 | Facility | None | $165.96 | $758.58 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $17.78 Median $83.18 Typical High $141.25 | Facility | RR · Rental | $17.78 | $83.18 | $141.25 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $125.89 Median $575.44 Typical High $977.24 | Facility | UE · Used equipment | $125.89 | $575.44 | $977.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | RR · Rental | $17.78 | $18.20 | $18.20 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | UE · Used equipment | $125.89 | $125.89 | $128.82 |
United Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $194.98 | Professional | None | $77.62 | $104.71 | $194.98 |
United Setting Professional Modifier RR · Rental Typical Low $8.13 Median $10.96 Typical High $18.20 | Professional | RR · Rental | $8.13 | $10.96 | $18.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $77.62 Typical High $128.82 | Professional | UE · Used equipment | $57.54 | $77.62 | $128.82 |
2 more rates 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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Facility Modifier LL · Lease toward purchase Typical Low $15.14 Median $74.13 Typical High $117.49 | Facility | LL · Lease toward purchase | $15.14 | $74.13 | $117.49 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | LL · Lease toward purchase | $15.14 | $15.14 | $15.14 |
Where Pennsylvania sits
The same service costs 13.5 times more in Kansas 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· 40th of 51
$120
KS $234IL $17.38
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.