How much rates vary
Facilitymedian $39 · 10th to 90th $36 to $372Professionalmedian $36 · 10th to 90th $26 to $55
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 $30.20 Median $31.62 Typical High $31.62 | Facility | None | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $31.62 | Professional | None | $20.42 | $30.20 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $22.39 Typical High $23.44 | Professional | UE · Used equipment | $15.49 | $22.39 | $23.44 |
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 $5.62 Median $43.65 Typical High $56.23 | Professional | None | $5.62 | $43.65 | $56.23 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | UE · Used equipment | $32.36 | $32.36 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $53.70 | Professional | None | $34.67 | $48.98 | $53.70 |
Geisinger Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Geisinger Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $57.54 | Professional | None | $34.67 | $40.74 | $57.54 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.47 Median $4.07 Typical High $5.75 | Professional | RR · Rental | $3.47 | $4.07 | $5.75 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $30.20 Typical High $43.65 | Professional | UE · Used equipment | $25.70 | $30.20 | $43.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $31.62 | Professional | None | $26.92 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $22.39 Typical High $23.44 | Professional | UE · Used equipment | $20.42 | $22.39 | $23.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $204.17 Typical High $346.74 | Facility | None | $44.67 | $204.17 | $346.74 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.47 Median $20.42 Typical High $34.67 | Facility | RR · Rental | $4.47 | $20.42 | $34.67 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $33.11 Median $151.36 Typical High $257.04 | Facility | UE · Used equipment | $33.11 | $151.36 | $257.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $54.95 | Professional | None | $44.67 | $50.12 | $54.95 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.01 Typical High $5.50 | Professional | RR · Rental | $4.47 | $5.01 | $5.50 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $33.11 | $38.02 | $40.74 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $46.77 | Professional | None | $21.88 | $28.18 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.82 Typical High $4.37 | Professional | RR · Rental | $2.19 | $2.82 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $21.38 Typical High $33.11 | Professional | UE · Used equipment | $16.22 | $21.38 | $33.11 |
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 $22.39 Typical High $35.48 | Facility | LL · Lease toward purchase | $4.47 | $22.39 | $35.48 |
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· 36th of 51
$36.31
KS $61.66NM $26.30
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.