How much rates vary
Facilitymedian $550 · 10th to 90th $513 to $5,012Professionalmedian $513 · 10th to 90th $372 to $871
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 $478.63 Median $512.86 Typical High $512.86 | Facility | None | $478.63 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | None | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | UE · Used equipment | $338.84 | $363.08 | $380.19 |
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 $724.44 | Professional | None | $70.79 | $588.84 | $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 $58.88 | Facility | RR · Rental | $54.95 | $54.95 | $58.88 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
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 $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 $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 $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 $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 $478.63 Median $478.63 Typical High $512.86 | Professional | None | $478.63 | $478.63 | $512.86 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | UE · Used equipment | $363.08 | $363.08 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $67.61 Median $501.19 Typical High $851.14 | Facility | RR · Rental | $67.61 | $501.19 | $851.14 |
UPMC Health Plan Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $67.61 Median $69.18 Typical High $85.11 | Professional | RR · Rental | $67.61 | $69.18 | $85.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $1,000.00 | Professional | None | $389.05 | $501.19 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $57.54 Typical High $102.33 | Professional | RR · Rental | $42.66 | $57.54 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $363.08 Typical High $645.65 | Professional | UE · Used equipment | $288.40 | $363.08 | $645.65 |
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 14.5 times more in South Carolina 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
SC $891IL $61.66
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.