How much rates vary
Facilitymedian $41 · 10th to 90th $33 to $347Professionalmedian $33 · 10th to 90th $21 to $49
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 $26.92 Median $28.18 Typical High $28.18 | Facility | None | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $28.84 | Professional | None | $18.62 | $26.92 | $28.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $20.42 Typical High $21.38 | Professional | UE · Used equipment | $14.13 | $20.42 | $21.38 |
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 $4.17 Median $39.81 Typical High $50.12 | Professional | None | $4.17 | $39.81 | $50.12 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | UE · Used equipment | $29.51 | $29.51 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $52.48 | Professional | None | $33.88 | $47.86 | $52.48 |
Geisinger Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | None | $30.90 | $36.31 | $52.48 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.63 Typical High $5.25 | Professional | RR · Rental | $3.09 | $3.63 | $5.25 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $27.54 Typical High $38.90 | Professional | UE · Used equipment | $23.44 | $27.54 | $38.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Martin's Point Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | None | $26.92 | $26.92 | $28.18 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | UE · Used equipment | $20.42 | $20.42 | $21.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $186.21 Typical High $316.23 | Facility | None | $40.74 | $186.21 | $316.23 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.17 Median $18.62 Typical High $32.36 | Facility | RR · Rental | $4.17 | $18.62 | $32.36 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $30.90 Median $141.25 Typical High $239.88 | Facility | UE · Used equipment | $30.90 | $141.25 | $239.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $48.98 | Professional | None | $40.74 | $45.71 | $48.98 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.68 Typical High $4.90 | Professional | RR · Rental | $4.17 | $4.68 | $4.90 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | UE · Used equipment | $30.90 | $34.67 | $37.15 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $42.66 | Professional | None | $19.50 | $25.70 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.57 Typical High $4.07 | Professional | RR · Rental | $1.95 | $2.57 | $4.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $19.50 Typical High $30.20 | Professional | UE · Used equipment | $14.79 | $19.50 | $30.20 |
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 $4.47 Median $21.88 Typical High $34.67 | Facility | LL · Lease toward purchase | $4.47 | $21.88 | $34.67 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | LL · Lease toward purchase | $4.47 | $4.47 | $4.47 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas 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· 34th of 51
$33.88
KS $54.95NM $23.99
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.