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 $794.33 Median $851.14 Typical High $851.14 | Facility | None | $794.33 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | None | $794.33 | $794.33 | $851.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | UE · Used equipment | $602.56 | $602.56 | $630.96 |
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 $141.25 Median $1,174.90 Typical High $1,412.54 | Professional | None | $141.25 | $1,174.90 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | RR · Rental | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None | $741.31 | $741.31 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | RR · Rental | $74.13 | $74.13 | $89.13 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | RR · Rental | $131.83 | $131.83 | $144.54 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | RR · Rental | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $776.25 | Professional | None | $630.96 | $630.96 | $776.25 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $87.10 Median $100.00 Typical High $144.54 | Professional | RR · Rental | $87.10 | $100.00 | $144.54 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | UE · Used equipment | $478.63 | $478.63 | $588.84 |
Martin's Point Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Martin's Point Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | None | $794.33 | $794.33 | $851.14 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $630.96 | Professional | UE · Used equipment | $602.56 | $602.56 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $109.65 Median $645.65 Typical High $1,096.48 | Facility | RR · Rental | $109.65 | $645.65 | $1,096.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | RR · Rental | $109.65 | $109.65 | $112.20 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,380.38 | Professional | None | $549.54 | $831.76 | $1,380.38 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $83.18 Typical High $138.04 | Professional | RR · Rental | $63.10 | $83.18 | $138.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $616.60 Typical High $1,000.00 | Professional | UE · Used equipment | $416.87 | $616.60 | $1,000.00 |
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 $4.68 Median $4.68 Typical High $4.68 | Professional | KR · Partial-month rental | $4.68 | $4.68 | $4.68 |
Where Pennsylvania sits
The same service costs 4.6 times more in Kansas 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· 38th of 51
$851
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.