How much rates vary
Facilitymedian $468 · 10th to 90th $275 to $8,710Professionalmedian $48 · 10th to 90th $48 to $275
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 $263.03 Median $275.42 Typical High $275.42 | Facility | None | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | None | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | UE · Used equipment | $199.53 | $199.53 | $208.93 |
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 $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $1.45 Median $1.62 Typical High $1.62 | Professional | KR · Partial-month rental | $1.45 | $1.62 | $1.62 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $562.34 Typical High $691.83 | Professional | None | $35.48 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $52.48 Median $64.57 Typical High $91.20 | Professional | RR · Rental | $52.48 | $64.57 | $91.20 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | RR · Rental | $50.12 | $50.12 | $50.12 |
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 $29.51 Median $29.51 Typical High $50.12 | Professional | RR · Rental | $29.51 | $29.51 | $50.12 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | None | $263.03 | $263.03 | $275.42 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | UE · Used equipment | $199.53 | $199.53 | $208.93 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $27.54 Median $125.89 Typical High $213.80 | Facility | RR · Rental | $27.54 | $125.89 | $213.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $27.54 Median $44.67 Typical High $46.77 | Professional | RR · Rental | $27.54 | $44.67 | $46.77 |
United Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $30.90 | Professional | None | $17.38 | $24.55 | $30.90 |
United Setting Professional Modifier RR · Rental Typical Low $18.20 Median $23.99 Typical High $29.51 | Professional | RR · Rental | $18.20 | $23.99 | $29.51 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 35th of 51
$47.86
WY $676OK $22.91
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.