How much rates vary
Facilitymedian $380 · 10th to 90th $302 to $5,012Professionalmedian $324 · 10th to 90th $204 to $513
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 $288.40 Median $302.00 Typical High $302.00 | Facility | None | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $302.00 | Professional | None | $234.42 | $288.40 | $302.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $213.80 Typical High $223.87 | Professional | UE · Used equipment | $173.78 | $213.80 | $223.87 |
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 $50.12 Median $416.87 Typical High $501.19 | Professional | None | $50.12 | $416.87 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $44.67 | Facility | RR · Rental | $38.02 | $38.02 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | None | $323.59 | $380.19 | $380.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | RR · Rental | $32.36 | $32.36 | $38.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | RR · Rental | $46.77 | $46.77 | $51.29 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $51.29 | $51.29 | $51.29 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $295.12 | Professional | None | $239.88 | $239.88 | $295.12 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $30.90 Median $36.31 Typical High $51.29 | Professional | RR · Rental | $30.90 | $36.31 | $51.29 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | UE · Used equipment | $177.83 | $177.83 | $218.78 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | None | $288.40 | $288.40 | $302.00 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | UE · Used equipment | $213.80 | $213.80 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $38.90 Median $229.09 Typical High $398.11 | Facility | RR · Rental | $38.90 | $229.09 | $398.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | RR · Rental | $38.90 | $38.90 | $39.81 |
United Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $389.05 | Professional | None | $177.83 | $218.78 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $27.54 Typical High $45.71 | Professional | RR · Rental | $19.50 | $27.54 | $45.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $165.96 Typical High $269.15 | Professional | UE · Used equipment | $134.90 | $165.96 | $269.15 |
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 $25.70 Median $125.89 Typical High $199.53 | Facility | LL · Lease toward purchase | $25.70 | $125.89 | $199.53 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | LL · Lease toward purchase | $25.70 | $25.70 | $25.70 |
Where Pennsylvania sits
The same service costs 17.8 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· 36th of 51
$324
KS $724IL $40.74
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.