How much rates vary
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 $91.20 Median $95.50 Typical High $95.50 | Facility | None | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | None | $83.18 | $91.20 | $104.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $69.18 Typical High $75.86 | Professional | UE · Used equipment | $61.66 | $69.18 | $75.86 |
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 $12.59 Median $134.90 Typical High $151.36 | Professional | None | $12.59 | $134.90 | $151.36 |
Capital Blue Cross Setting Professional Modifier RR · Rental Typical Low $12.59 Median $15.14 Typical High $15.14 | Professional | RR · Rental | $12.59 | $15.14 | $15.14 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | UE · Used equipment | $97.72 | $97.72 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $112.20 | Facility | None | $109.65 | $109.65 | $112.20 |
Cigna Setting Facility Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $11.22 | Facility | RR · Rental | $10.96 | $10.96 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | None | $93.33 | $109.65 | $112.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | RR · Rental | $9.33 | $9.33 | $10.96 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $162.18 | Professional | None | $104.71 | $147.91 | $162.18 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | RR · Rental | $15.85 | $15.85 | $15.85 |
Geisinger Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None | $74.13 | $74.13 | $95.50 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $9.33 Median $11.75 Typical High $15.85 | Professional | RR · Rental | $9.33 | $11.75 | $15.85 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | UE · Used equipment | $54.95 | $54.95 | $72.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | None | $91.20 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | UE · Used equipment | $69.18 | $69.18 | $72.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $812.83 Typical High $1,380.38 | Facility | None | $165.96 | $812.83 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $12.88 Median $81.28 Typical High $138.04 | Facility | RR · Rental | $12.88 | $81.28 | $138.04 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $134.90 Median $660.69 Typical High $1,047.13 | Facility | UE · Used equipment | $134.90 | $660.69 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $177.83 | Professional | None | $165.96 | $173.78 | $177.83 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $12.88 Median $13.18 Typical High $17.78 | Professional | RR · Rental | $12.88 | $13.18 | $17.78 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | UE · Used equipment | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $158.49 | Professional | None | $69.18 | $79.43 | $158.49 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $10.47 Typical High $15.85 | Professional | RR · Rental | $7.94 | $10.47 | $15.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $60.26 Typical High $114.82 | Professional | UE · Used equipment | $51.29 | $60.26 | $114.82 |
1 more rate 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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier LL · Lease toward purchase Typical Low $12.59 Median $15.14 Typical High $15.14 | Professional | LL · Lease toward purchase | $12.59 | $15.14 | $15.14 |
Where Pennsylvania sits
The same service costs 3.3 times more in Kansas than in Illinois. 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
$110
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.