How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $5,012Professionalmedian $407 · 10th to 90th $295 to $741
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 $407.38 Median $426.58 Typical High $426.58 | Facility | None | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | None | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | UE · Used equipment | $302.00 | $302.00 | $316.23 |
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 $70.79 Median $588.84 Typical High $707.95 | Professional | None | $70.79 | $588.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | RR · Rental | $67.61 | $67.61 | $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 $371.54 Median $371.54 Typical High $457.09 | Professional | None | $371.54 | $371.54 | $457.09 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $72.44 | Professional | RR · Rental | $43.65 | $51.29 | $72.44 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | UE · Used equipment | $275.42 | $275.42 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Martin's Point Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | None | $407.38 | $407.38 | $426.58 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | UE · Used equipment | $302.00 | $302.00 | $316.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $53.70 Median $316.23 Typical High $549.54 | Facility | RR · Rental | $53.70 | $316.23 | $549.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $53.70 Median $54.95 Typical High $56.23 | Professional | RR · Rental | $53.70 | $54.95 | $56.23 |
United Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $660.69 | Professional | None | $269.15 | $331.13 | $660.69 |
United Setting Professional Modifier RR · Rental Typical Low $32.36 Median $43.65 Typical High $72.44 | Professional | RR · Rental | $32.36 | $43.65 | $72.44 |
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 |
4 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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | KR · Partial-month rental | $2.40 | $2.40 | $2.40 |
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Where Pennsylvania sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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· 31st of 51
$407
ND $851RI $204
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.