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 $691.83 Median $724.44 Typical High $724.44 | Facility | None | $691.83 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $724.44 | Professional | None | $660.69 | $691.83 | $724.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | UE · Used equipment | $524.81 | $524.81 | $549.54 |
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 $131.83 Median $1,000.00 Typical High $1,318.26 | Professional | None | $131.83 | $1,000.00 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Cigna Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | RR · Rental | $38.02 | $38.02 | $44.67 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | RR · Rental | $131.83 | $131.83 | $144.54 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | RR · Rental | $134.90 | $134.90 | $134.90 |
Geisinger Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $776.25 | Professional | None | $630.96 | $630.96 | $776.25 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | RR · Rental | $81.28 | $95.50 | $134.90 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | UE · Used equipment | $467.74 | $467.74 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Martin's Point Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Professional | None | $691.83 | $691.83 | $724.44 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | UE · Used equipment | $524.81 | $524.81 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $72.44 Median $426.58 Typical High $741.31 | Facility | RR · Rental | $72.44 | $426.58 | $741.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $72.44 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $72.44 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $933.25 | Professional | None | $398.11 | $562.34 | $933.25 |
United Setting Professional Modifier RR · Rental Typical Low $45.71 Median $66.07 Typical High $100.00 | Professional | RR · Rental | $45.71 | $66.07 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $416.87 Typical High $707.95 | Professional | UE · Used equipment | $302.00 | $416.87 | $707.95 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | NR · New when rented | $363.08 | $363.08 | $363.08 |
Where Pennsylvania sits
The same service costs 16.2 times more in Kansas than in Mississippi. 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· 27th of 51
$692
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.