How much rates vary
Facilitymedian $30 · 10th to 90th $28 to $302Professionalmedian $24 · 10th to 90th $19 to $38
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 $20.89 Median $21.88 Typical High $21.88 | Facility | None | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | UE · Used equipment | $15.49 | $15.49 | $16.60 |
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 $3.89 Median $30.20 Typical High $38.90 | Professional | None | $3.89 | $30.20 | $38.90 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | UE · Used equipment | $22.91 | $22.91 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | RR · Rental | $3.16 | $3.16 | $3.16 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | UE · Used equipment | $17.38 | $17.38 | $17.38 |
Emblem Health Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $39.81 | Professional | None | $25.70 | $36.31 | $39.81 |
Geisinger Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Geisinger Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | None | $23.99 | $27.54 | $39.81 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.75 Typical High $3.98 | Professional | RR · Rental | $2.40 | $2.75 | $3.98 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $20.89 Typical High $29.51 | Professional | UE · Used equipment | $17.78 | $20.89 | $29.51 |
Martin's Point Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None | $20.89 | $20.89 | $21.88 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | UE · Used equipment | $15.49 | $15.49 | $16.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $144.54 Typical High $251.19 | Facility | None | $31.62 | $144.54 | $251.19 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $3.55 Median $16.22 Typical High $27.54 | Facility | RR · Rental | $3.55 | $16.22 | $27.54 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $23.99 Median $109.65 Typical High $186.21 | Facility | UE · Used equipment | $23.99 | $109.65 | $186.21 |
UPMC Health Plan Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $38.02 | Professional | None | $31.62 | $36.31 | $38.02 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.72 Typical High $3.89 | Professional | RR · Rental | $3.55 | $3.72 | $3.89 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $27.54 Typical High $28.18 | Professional | UE · Used equipment | $23.99 | $27.54 | $28.18 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $37.15 | Professional | None | $14.79 | $21.38 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.24 Typical High $3.80 | Professional | RR · Rental | $1.58 | $2.24 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $15.85 Typical High $26.92 | Professional | UE · Used equipment | $11.22 | $15.85 | $26.92 |
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 $2.95 Median $14.45 Typical High $22.91 | Facility | LL · Lease toward purchase | $2.95 | $14.45 | $22.91 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | LL · Lease toward purchase | $2.95 | $2.95 | $2.95 |
Where Pennsylvania sits
The same service costs 9.8 times more in Kansas than in Utah. 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· 25th of 51
$27.54
KS $182UT $18.62
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.