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 $363.08 Median $436.52 Typical High $436.52 | Facility | None | $363.08 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $436.52 | Professional | None | $269.15 | $363.08 | $436.52 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $257.04 Typical High $309.03 | Professional | UE · Used equipment | $223.87 | $257.04 | $309.03 |
AmeriHealth Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Capital Blue Cross Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Professional | None | $602.56 | $630.96 | $630.96 |
Capital Blue Cross Setting Professional Modifier RR · Rental Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $60.26 | $63.10 | $63.10 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $13.18 | Facility | RR · Rental | $12.88 | $12.88 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | RR · Rental | $10.96 | $10.96 | $12.88 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $120.23 | $120.23 | $120.23 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Martin's Point Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Martin's Point Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None | $363.08 | $363.08 | $436.52 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | UE · Used equipment | $257.04 | $257.04 | $309.03 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $33.11 Median $162.18 Typical High $257.04 | Facility | RR · Rental | $33.11 | $162.18 | $257.04 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $676.08 | Professional | None | $281.84 | $398.11 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $28.18 Median $38.90 Typical High $66.07 | Professional | RR · Rental | $28.18 | $38.90 | $66.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $275.42 Typical High $467.74 | Professional | UE · Used equipment | $199.53 | $275.42 | $467.74 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | NR · New when rented | $102.33 | $102.33 | $102.33 |
Where Pennsylvania sits
The same service costs 17.8 times more in North Dakota than in Wyoming. 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· 41st of 51
$363
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.