How much rates vary
Facilitymedian $692 · 10th to 90th $347 to $5,012Professionalmedian $93 · 10th to 90th $93 to $708
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 $707.95 | Facility | None | $676.08 | $707.95 | $707.95 |
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 Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $95.50 | Facility | RR · Rental | $67.61 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $4,073.80 Typical High $5,128.61 | Professional | None | $72.44 | $4,073.80 | $5,128.61 |
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 $165.96 | Professional | RR · Rental | $100.00 | $125.89 | $165.96 |
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 None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
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 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $512.86 Typical High $1,230.27 | Facility | None | $269.15 | $512.86 | $1,230.27 |
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 None Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,230.27 | $1,230.27 | $1,258.93 |
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 None Typical Low $57.54 Median $61.66 Typical High $147.91 | Professional | None | $57.54 | $61.66 | $147.91 |
United Setting Professional Modifier RR · Rental Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | RR · Rental | $61.66 | $89.13 | $158.49 |
3 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 |
|---|---|---|---|---|---|
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 |
UPMC Health Plan Setting Facility Modifier LL · Lease toward purchase Typical Low $91.20 Median $446.68 Typical High $724.44 | Facility | LL · Lease toward purchase | $91.20 | $446.68 | $724.44 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | LL · Lease toward purchase | $91.20 | $91.20 | $91.20 |
Where Pennsylvania sits
The same service costs 22.4 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· 49th of 51
$93.33
WY $1,349OK $60.26
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.