How much rates vary
Facilitymedian $407 · 10th to 90th $309 to $5,012Professionalmedian $347 · 10th to 90th $204 to $537
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 $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | None | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | UE · Used equipment | $223.87 | $223.87 | $234.42 |
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 $56.23 Median $426.58 Typical High $562.34 | Professional | None | $56.23 | $426.58 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | RR · Rental | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | RR · Rental | $34.67 | $34.67 | $40.74 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | RR · Rental | $61.66 | $61.66 | $67.61 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | RR · Rental | $57.54 | $57.54 | $57.54 |
Geisinger Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | None | $269.15 | $269.15 | $331.13 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $34.67 Median $40.74 Typical High $57.54 | Professional | RR · Rental | $34.67 | $40.74 | $57.54 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | UE · Used equipment | $199.53 | $199.53 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | None | $295.12 | $295.12 | $309.03 |
Martin's Point Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | UE · Used equipment | $223.87 | $223.87 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $30.90 Median $181.97 Typical High $316.23 | Facility | RR · Rental | $30.90 | $181.97 | $316.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $30.90 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $436.52 | Professional | None | $186.21 | $263.03 | $436.52 |
United Setting Professional Modifier RR · Rental Typical Low $21.38 Median $28.18 Typical High $46.77 | Professional | RR · Rental | $21.38 | $28.18 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $194.98 Typical High $323.59 | Professional | UE · Used equipment | $141.25 | $194.98 | $323.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Where Pennsylvania sits
The same service costs 11.2 times more in North Dakota than in Rhode Island. 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
$347
ND $759RI $67.61
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.