How much rates vary
Facilitymedian $240 · 10th to 90th $240 to $2,630Professionalmedian $257 · 10th to 90th $182 to $372
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 $204.17 Median $213.80 Typical High $213.80 | Facility | None | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | UE · Used equipment | $151.36 | $151.36 | $162.18 |
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 $38.90 Median $295.12 Typical High $389.05 | Professional | None | $38.90 | $295.12 | $389.05 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | UE · Used equipment | $223.87 | $223.87 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | RR · Rental | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | UE · Used equipment | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None | $204.17 | $239.88 | $239.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | RR · Rental | $20.42 | $20.42 | $23.99 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | UE · Used equipment | $151.36 | $151.36 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $398.11 | Professional | None | $257.04 | $363.08 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $398.11 | Professional | None | $239.88 | $275.42 | $398.11 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | RR · Rental | $23.99 | $27.54 | $39.81 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | UE · Used equipment | $177.83 | $208.93 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | UE · Used equipment | $151.36 | $151.36 | $162.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $1,258.93 Typical High $2,187.76 | Facility | None | $275.42 | $1,258.93 | $2,187.76 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $27.54 Median $125.89 Typical High $218.78 | Facility | RR · Rental | $27.54 | $125.89 | $218.78 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $208.93 Median $954.99 Typical High $1,621.81 | Facility | UE · Used equipment | $208.93 | $954.99 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $371.54 | Professional | None | $275.42 | $316.23 | $371.54 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $27.54 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $27.54 | $31.62 | $37.15 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $234.42 Typical High $275.42 | Professional | UE · Used equipment | $208.93 | $234.42 | $275.42 |
United Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $288.40 | Professional | None | $125.89 | $194.98 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $12.59 Median $19.50 Typical High $28.84 | Professional | RR · Rental | $12.59 | $19.50 | $28.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $144.54 Typical High $218.78 | Professional | UE · Used equipment | $95.50 | $144.54 | $218.78 |
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 $19.95 Median $97.72 Typical High $154.88 | Facility | LL · Lease toward purchase | $19.95 | $97.72 | $154.88 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | LL · Lease toward purchase | $19.95 | $19.95 | $19.95 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wisconsin 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· 16th of 51
$257
WI $398RI $174
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.