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 $707.95 Median $741.31 Typical High $741.31 | Facility | None | $707.95 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None | $707.95 | $707.95 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | UE · Used equipment | $524.81 | $524.81 | $549.54 |
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 $123.03 Median $1,023.29 Typical High $1,230.27 | Professional | None | $123.03 | $1,023.29 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | RR · Rental | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | RR · Rental | $66.07 | $66.07 | $77.62 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | RR · Rental | $117.49 | $117.49 | $125.89 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | RR · Rental | $125.89 | $125.89 | $125.89 |
Geisinger Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $75.86 Median $89.13 Typical High $125.89 | Professional | RR · Rental | $75.86 | $89.13 | $125.89 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $512.86 | Professional | UE · Used equipment | $416.87 | $416.87 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Martin's Point Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None | $707.95 | $707.95 | $741.31 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | UE · Used equipment | $524.81 | $524.81 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $93.33 Median $549.54 Typical High $954.99 | Facility | RR · Rental | $93.33 | $549.54 | $954.99 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | RR · Rental | $93.33 | $93.33 | $97.72 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,122.02 | Professional | None | $478.63 | $630.96 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $72.44 Typical High $120.23 | Professional | RR · Rental | $53.70 | $72.44 | $120.23 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $467.74 Typical High $831.76 | Professional | UE · Used equipment | $354.81 | $467.74 | $831.76 |
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 $4.07 Median $4.07 Typical High $4.07 | Professional | KR · Partial-month rental | $4.07 | $4.07 | $4.07 |
Where Pennsylvania sits
The same service costs 4.7 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
$741
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.