How much rates vary
Facilitymedian $15 · 10th to 90th $15 to $5,012Professionalmedian $107 · 10th to 90th $19 to $138
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 $131.83 Median $138.04 Typical High $251.19 | Facility | None | $131.83 | $138.04 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $144.54 | Professional | None | $131.83 | $134.90 | $144.54 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $14.45 Typical High $16.98 | Professional | RR · Rental | $10.00 | $14.45 | $16.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | UE · Used equipment | $97.72 | $97.72 | $102.33 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $23.99 | $23.99 | $23.99 |
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 $18.62 Median $20.89 Typical High $20.89 | Professional | None | $18.62 | $20.89 | $20.89 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $0.62 Median $0.69 Typical High $0.69 | Professional | KR · Partial-month rental | $0.62 | $0.69 | $0.69 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $25.12 | Facility | RR · Rental | $14.79 | $14.79 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $22.39 Median $27.54 Typical High $38.90 | Professional | RR · Rental | $22.39 | $27.54 | $38.90 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | RR · Rental | $21.38 | $21.38 | $21.38 |
Geisinger Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $12.88 Median $13.80 Typical High $21.38 | Professional | RR · Rental | $12.88 | $13.80 | $21.38 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $17.38 Median $19.50 Typical High $20.42 | Professional | RR · Rental | $17.38 | $19.50 | $20.42 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $251.19 | Facility | None | $138.04 | $138.04 | $251.19 |
Martin's Point Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | None | $131.83 | $131.83 | $138.04 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | UE · Used equipment | $97.72 | $97.72 | $102.33 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $23.44 Median $125.89 Typical High $213.80 | Facility | RR · Rental | $23.44 | $125.89 | $213.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | None | $234.42 | $234.42 | $239.88 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $23.44 Median $24.55 Typical High $27.54 | Professional | RR · Rental | $23.44 | $24.55 | $27.54 |
United Setting Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $85.11 | Professional | None | $11.75 | $12.02 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $14.79 Typical High $19.95 | Professional | RR · Rental | $7.94 | $14.79 | $19.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $83.18 Typical High $109.65 | Professional | UE · Used equipment | $56.23 | $83.18 | $109.65 |
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 QF · Oxygen over 4 L/min at rest + portable Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | QF · Oxygen over 4 L/min at rest + portable | $27.54 | $27.54 | $27.54 |
Where Pennsylvania sits
The same service costs 12.3 times more in Wyoming 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· 30th of 51
$107
WY $302IL $24.55
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.