How much rates vary
Facilitymedian $25,704 · 10th to 90th $8,128 to $74,131Professionalmedian $11,220 · 10th to 90th $7,079 to $12,882
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 $8,128.31 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,128.31 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $8,128.31 Median $8,511.38 Typical High $9,120.11 | Professional | None | $8,128.31 | $8,511.38 | $9,120.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6,025.60 Median $6,456.54 Typical High $6,918.31 | Professional | UE · Used equipment | $6,025.60 | $6,456.54 | $6,918.31 |
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 $9,772.37 Median $12,589.25 Typical High $12,882.50 | Professional | None | $9,772.37 | $12,589.25 | $12,882.50 |
Capital Blue Cross Setting Professional Modifier LL · Lease toward purchase Typical Low $1,096.48 Median $1,258.93 Typical High $1,288.25 | Professional | LL · Lease toward purchase | $1,096.48 | $1,258.93 | $1,288.25 |
Capital Blue Cross Setting Professional Modifier RR · Rental Typical Low $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | RR · Rental | $1,230.27 | $1,548.82 | $1,548.82 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $8,128.31 Median $9,332.54 Typical High $9,772.37 | Professional | UE · Used equipment | $8,128.31 | $9,332.54 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $63,095.73 | Professional | None | $11,220.18 | $11,220.18 | $63,095.73 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $6,309.57 | Professional | RR · Rental | $645.65 | $645.65 | $6,309.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | RR · Rental | $1,584.89 | $1,584.89 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $954.99 Median $1,096.48 Typical High $1,584.89 | Professional | RR · Rental | $954.99 | $1,096.48 | $1,584.89 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | UE · Used equipment | $5,495.41 | $5,495.41 | $5,495.41 |
Martin's Point Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $8,128.31 Median $8,317.64 Typical High $9,120.11 | Professional | None | $8,128.31 | $8,317.64 | $9,120.11 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $6,025.60 Median $6,165.95 Typical High $6,918.31 | Professional | UE · Used equipment | $6,025.60 | $6,165.95 | $6,918.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10,000.00 Median $45,708.82 Typical High $77,624.71 | Facility | None | $10,000.00 | $45,708.82 | $77,624.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $14,791.08 | Professional | None | $10,000.00 | $10,000.00 | $14,791.08 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $1,122.02 Median $7,762.47 Typical High $7,762.47 | Professional | RR · Rental | $1,122.02 | $7,762.47 | $7,762.47 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | UE · Used equipment | $9,120.11 | $9,120.11 | $9,120.11 |
United Setting Professional Modifier None Typical Low $5,370.32 Median $6,918.31 Typical High $10,964.78 | Professional | None | $5,370.32 | $6,918.31 | $10,964.78 |
United Setting Professional Modifier RR · Rental Typical Low $588.84 Median $776.25 Typical High $1,258.93 | Professional | RR · Rental | $588.84 | $776.25 | $1,258.93 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $5,248.07 Typical High $8,317.64 | Professional | UE · Used equipment | $3,890.45 | $5,248.07 | $8,317.64 |
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 $41.69 Median $41.69 Typical High $42.66 | Professional | KR · Partial-month rental | $41.69 | $41.69 | $42.66 |
Where Pennsylvania sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 8th of 51
$11,220
ND $17,783WA $2,138
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.