How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,388.44 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,388.44 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,388.44 | $3,548.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,290.87 Median $2,570.40 Typical High $2,691.53 | Professional | UE · Used equipment | $2,290.87 | $2,570.40 | $2,691.53 |
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 $4,677.35 Median $4,897.79 Typical High $5,623.41 | Professional | None | $4,677.35 | $4,897.79 | $5,623.41 |
Cigna Setting Facility Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | RR · Rental | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $4,677.35 Typical High $4,677.35 | Professional | None | $426.58 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | RR · Rental | $363.08 | $363.08 | $426.58 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | UE · Used equipment | $3,548.13 | $3,548.13 | $3,548.13 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | RR · Rental | $537.03 | $537.03 | $575.44 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | RR · Rental | $575.44 | $575.44 | $575.44 |
Geisinger Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,691.53 | $2,691.53 | $3,311.31 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $346.74 Median $436.52 Typical High $575.44 | Professional | RR · Rental | $346.74 | $436.52 | $575.44 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,511.89 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,511.89 |
Martin's Point Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Martin's Point Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,090.30 | $3,388.44 | $3,548.13 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $2,290.87 Median $2,570.40 Typical High $2,691.53 | Professional | UE · Used equipment | $2,290.87 | $2,570.40 | $2,691.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $478.63 Median $3,019.95 Typical High $5,128.61 | Facility | RR · Rental | $478.63 | $3,019.95 | $5,128.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $478.63 Median $489.78 Typical High $512.86 | Professional | RR · Rental | $478.63 | $489.78 | $512.86 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,019.95 | $5,623.41 |
United Setting Professional Modifier RR · Rental Typical Low $295.12 Median $389.05 Typical High $660.69 | Professional | RR · Rental | $295.12 | $389.05 | $660.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $2,238.72 Typical High $3,890.45 | Professional | UE · Used equipment | $1,905.46 | $2,238.72 | $3,890.45 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | KR · Partial-month rental | $18.62 | $18.62 | $18.62 |
Where Pennsylvania sits
The same service costs 14.8 times more in Minnesota 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· 37th of 51
$3,548
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.