How much rates vary
Facilitymedian $58 · 10th to 90th $58 to $4,266Professionalmedian $58 · 10th to 90th $46 to $89
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 $48.98 Median $51.29 Typical High $51.29 | Facility | None | $48.98 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $54.95 | Professional | None | $44.67 | $48.98 | $54.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | UE · Used equipment | $35.48 | $37.15 | $38.90 |
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 $7.76 Median $70.79 Typical High $77.62 | Professional | None | $7.76 | $70.79 | $77.62 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $53.70 Typical High $58.88 | Professional | UE · Used equipment | $47.86 | $53.70 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | None | $48.98 | $57.54 | $77.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | RR · Rental | $6.61 | $6.61 | $7.76 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | UE · Used equipment | $36.31 | $36.31 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $79.43 | Professional | None | $52.48 | $74.13 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Geisinger Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | None | $47.86 | $64.57 | $79.43 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $4.79 Median $6.46 Typical High $7.94 | Professional | RR · Rental | $4.79 | $6.46 | $7.94 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $44.67 Typical High $60.26 | Professional | UE · Used equipment | $36.31 | $44.67 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $74.13 | Professional | None | $54.95 | $60.26 | $74.13 |
Martin's Point Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | None | $46.77 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $37.15 Typical High $38.90 | Professional | UE · Used equipment | $36.31 | $37.15 | $38.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $9.33 Median $51.29 Typical High $89.13 | Facility | RR · Rental | $9.33 | $51.29 | $89.13 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $67.61 Median $363.08 Typical High $616.60 | Facility | UE · Used equipment | $67.61 | $363.08 | $616.60 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.55 Typical High $11.48 | Professional | RR · Rental | $9.33 | $9.55 | $11.48 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $69.18 Typical High $79.43 | Professional | UE · Used equipment | $67.61 | $69.18 | $79.43 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $107.15 | Professional | None | $43.65 | $57.54 | $107.15 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $6.17 Typical High $10.47 | Professional | RR · Rental | $4.47 | $6.17 | $10.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $44.67 Typical High $72.44 | Professional | UE · Used equipment | $33.11 | $44.67 | $72.44 |
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 $9.55 Median $46.77 Typical High $74.13 | Facility | LL · Lease toward purchase | $9.55 | $46.77 | $74.13 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | LL · Lease toward purchase | $9.55 | $9.55 | $9.55 |
Where Pennsylvania sits
The same service costs 3.7 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· 42nd of 51
$57.54
HI $166NM $44.67
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.