How much rates vary
Facilitymedian $1,230 · 10th to 90th $240 to $5,012Professionalmedian $339 · 10th to 90th $93 to $776
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 $676.08 Median $707.95 Typical High $1,318.26 | Facility | None | $676.08 | $707.95 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $758.58 | Professional | None | $676.08 | $707.95 | $758.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | UE · Used equipment | $512.86 | $537.03 | $562.34 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | KR · Partial-month rental | $2.82 | $3.16 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,318.26 | Facility | None | $707.95 | $707.95 | $1,318.26 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $758.58 | Professional | None | $676.08 | $707.95 | $758.58 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $537.03 Typical High $549.54 | Professional | UE · Used equipment | $512.86 | $537.03 | $549.54 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $239.88 Median $1,230.27 Typical High $1,862.09 | Facility | None | $239.88 | $1,230.27 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $239.88 Median $1,230.27 Typical High $1,230.27 | Professional | None | $239.88 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $354.81 | Professional | None | $61.66 | $63.10 | $354.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $371.54 Typical High $489.78 | Professional | UE · Used equipment | $251.19 | $371.54 | $489.78 |
13 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | RR · Rental | $131.83 | $131.83 | $131.83 |
Capital Blue Cross Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | QF · Oxygen over 4 L/min at rest + portable | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $93.33 | Facility | RR · Rental | $67.61 | $67.61 | $93.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $100.00 Median $125.89 Typical High $177.83 | Professional | RR · Rental | $100.00 | $125.89 | $177.83 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | RR · Rental | $95.50 | $95.50 | $95.50 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $57.54 Median $63.10 Typical High $109.65 | Professional | RR · Rental | $57.54 | $63.10 | $109.65 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $89.13 Typical High $154.88 | Professional | RR · Rental | $75.86 | $89.13 | $154.88 |
UPMC Health Plan Setting Facility Modifier LL · Lease toward purchase Typical Low $54.95 Median $269.15 Typical High $436.52 | Facility | LL · Lease toward purchase | $54.95 | $269.15 | $436.52 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $123.03 Median $741.31 Typical High $1,288.25 | Facility | RR · Rental | $123.03 | $741.31 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | LL · Lease toward purchase | $54.95 | $54.95 | $54.95 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $123.03 Median $125.89 Typical High $162.18 | Professional | RR · Rental | $123.03 | $125.89 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $81.28 Typical High $158.49 | Professional | RR · Rental | $36.31 | $81.28 | $158.49 |
Where Pennsylvania sits
The same service costs 13.2 times more in Wyoming than in Montana. 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
$363
WY $1,349MT $102
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.