How much rates vary
Facilitymedian $65 · 10th to 90th $35 to $550Professionalmedian $52 · 10th to 90th $30 to $78
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 $42.66 Median $44.67 Typical High $44.67 | Facility | None | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $44.67 | Professional | None | $30.20 | $42.66 | $44.67 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $31.62 Typical High $33.11 | Professional | UE · Used equipment | $22.39 | $31.62 | $33.11 |
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 $7.94 Median $61.66 Typical High $79.43 | Professional | None | $7.94 | $61.66 | $79.43 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | UE · Used equipment | $46.77 | $46.77 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $74.13 | Facility | None | $35.48 | $35.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | None | $30.20 | $35.48 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $81.28 | Professional | None | $52.48 | $74.13 | $81.28 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $81.28 | Professional | None | $48.98 | $56.23 | $81.28 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.62 Typical High $8.13 | Professional | RR · Rental | $4.79 | $5.62 | $8.13 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | UE · Used equipment | $36.31 | $42.66 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | None | $54.95 | $58.88 | $64.57 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $44.67 | Professional | None | $34.67 | $42.66 | $44.67 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $31.62 Typical High $33.11 | Professional | UE · Used equipment | $25.70 | $31.62 | $33.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $295.12 Typical High $501.19 | Facility | None | $64.57 | $295.12 | $501.19 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $6.46 Median $29.51 Typical High $50.12 | Facility | RR · Rental | $6.46 | $29.51 | $50.12 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $48.98 Median $218.78 Typical High $380.19 | Facility | UE · Used equipment | $48.98 | $218.78 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | None | $64.57 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | RR · Rental | $6.46 | $7.76 | $7.76 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $48.98 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $67.61 | Professional | None | $30.20 | $39.81 | $67.61 |
United Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.98 Typical High $6.61 | Professional | RR · Rental | $3.02 | $3.98 | $6.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $30.20 Typical High $50.12 | Professional | UE · Used equipment | $22.91 | $30.20 | $50.12 |
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 $4.68 Median $22.91 Typical High $36.31 | Facility | LL · Lease toward purchase | $4.68 | $22.91 | $36.31 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | LL · Lease toward purchase | $4.68 | $4.68 | $4.68 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Texas. 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
$52.48
HI $112TX $35.48
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.