How much rates vary
Facilitymedian $14 · 10th to 90th $11 to $138Professionalmedian $11 · 10th to 90th $8 to $16
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 $8.71 Median $9.12 Typical High $9.12 | Facility | None | $8.71 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $9.55 | Professional | None | $7.24 | $8.71 | $9.55 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $6.46 Typical High $6.76 | Professional | UE · Used equipment | $5.50 | $6.46 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
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 $1.45 Median $12.59 Typical High $14.45 | Professional | None | $1.45 | $12.59 | $14.45 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $9.33 Typical High $10.96 | Professional | UE · Used equipment | $8.91 | $9.33 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $14.13 | Professional | None | $9.33 | $10.96 | $14.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $1.45 | Professional | RR · Rental | $0.98 | $0.98 | $1.45 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $14.79 | Professional | None | $9.77 | $13.80 | $14.79 |
Geisinger Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Geisinger Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $14.79 | Professional | None | $8.91 | $11.22 | $14.79 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $0.89 Median $1.12 Typical High $1.48 | Professional | RR · Rental | $0.89 | $1.12 | $1.48 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $8.13 Typical High $11.22 | Professional | UE · Used equipment | $6.76 | $8.13 | $11.22 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $16.98 | Professional | None | $10.23 | $13.49 | $16.98 |
Martin's Point Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $9.12 | Professional | None | $7.41 | $8.71 | $9.12 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $6.46 Typical High $6.76 | Professional | UE · Used equipment | $5.62 | $6.46 | $6.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $15.85 Median $74.13 Typical High $128.82 | Facility | None | $15.85 | $74.13 | $128.82 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $1.58 Median $7.41 Typical High $12.88 | Facility | RR · Rental | $1.58 | $7.41 | $12.88 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $11.75 Median $56.23 Typical High $95.50 | Facility | UE · Used equipment | $11.75 | $56.23 | $95.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $16.22 | Professional | None | $15.85 | $16.22 | $16.22 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.62 Typical High $1.62 | Professional | RR · Rental | $1.58 | $1.62 | $1.62 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $12.02 Typical High $12.30 | Professional | UE · Used equipment | $11.75 | $12.02 | $12.30 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $17.38 | Professional | None | $7.24 | $9.55 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.76 Median $0.98 Typical High $1.51 | Professional | RR · Rental | $0.76 | $0.98 | $1.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $7.08 Typical High $11.22 | Professional | UE · Used equipment | $5.50 | $7.08 | $11.22 |
2 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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Facility Modifier LL · Lease toward purchase Typical Low $1.35 Median $6.61 Typical High $10.72 | Facility | LL · Lease toward purchase | $1.35 | $6.61 | $10.72 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | LL · Lease toward purchase | $1.35 | $1.35 | $1.35 |
Where Pennsylvania sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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
$11.75
HI $38.90NM $7.76
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.