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 $489.78 Median $512.86 Typical High $512.86 | Facility | None | $489.78 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | None | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $363.08 Typical High $389.05 | Professional | UE · Used equipment | $346.74 | $363.08 | $389.05 |
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 $72.44 Median $707.95 Typical High $724.44 | Professional | None | $72.44 | $707.95 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | RR · Rental | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None | $467.74 | $467.74 | $549.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | RR · Rental | $46.77 | $46.77 | $54.95 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | RR · Rental | $69.18 | $69.18 | $74.13 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | RR · Rental | $74.13 | $74.13 | $74.13 |
Geisinger Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | None | $389.05 | $389.05 | $478.63 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $44.67 Median $56.23 Typical High $74.13 | Professional | RR · Rental | $44.67 | $56.23 | $74.13 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | UE · Used equipment | $288.40 | $288.40 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | None | $489.78 | $489.78 | $512.86 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | UE · Used equipment | $363.08 | $363.08 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $67.61 Median $512.86 Typical High $870.96 | Facility | RR · Rental | $67.61 | $512.86 | $870.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $67.61 Median $69.18 Typical High $87.10 | Professional | RR · Rental | $67.61 | $69.18 | $87.10 |
United Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $1,023.29 | Professional | None | $389.05 | $512.86 | $1,023.29 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $58.88 Typical High $104.71 | Professional | RR · Rental | $42.66 | $58.88 | $104.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $371.54 Typical High $660.69 | Professional | UE · Used equipment | $295.12 | $371.54 | $660.69 |
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 $2.40 Median $2.40 Typical High $2.40 | Professional | KR · Partial-month rental | $2.40 | $2.40 | $2.40 |
Where Pennsylvania sits
The same service costs 15.1 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· 43rd of 51
$513
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.