How much rates vary
Facilitymedian $324 · 10th to 90th $234 to $3,890Professionalmedian $417 · 10th to 90th $224 to $550
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 $309.03 Median $323.59 Typical High $323.59 | Facility | None | $309.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | None | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | UE · Used equipment | $229.09 | $229.09 | $239.88 |
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 $48.98 Median $446.68 Typical High $588.84 | Professional | None | $48.98 | $446.68 | $588.84 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | UE · Used equipment | $331.13 | $331.13 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $489.78 | Professional | None | $199.53 | $234.42 | $489.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | UE · Used equipment | $147.91 | $147.91 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $588.84 | Professional | None | $389.05 | $549.54 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Geisinger Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $588.84 | Professional | None | $354.81 | $416.87 | $588.84 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | RR · Rental | $36.31 | $42.66 | $60.26 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $316.23 Typical High $446.68 | Professional | UE · Used equipment | $269.15 | $316.23 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Martin's Point Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | None | $309.03 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | UE · Used equipment | $229.09 | $229.09 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,905.46 Typical High $3,235.94 | Facility | None | $416.87 | $1,905.46 | $3,235.94 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $42.66 Median $194.98 Typical High $331.13 | Facility | RR · Rental | $42.66 | $194.98 | $331.13 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $316.23 Median $1,412.54 Typical High $2,454.71 | Facility | UE · Used equipment | $316.23 | $1,412.54 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | None | $416.87 | $549.54 | $549.54 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $42.66 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $42.66 | $56.23 | $56.23 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | UE · Used equipment | $316.23 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $489.78 | Professional | None | $218.78 | $288.40 | $489.78 |
United Setting Professional Modifier RR · Rental Typical Low $22.39 Median $29.51 Typical High $48.98 | Professional | RR · Rental | $22.39 | $29.51 | $48.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $218.78 Typical High $363.08 | Professional | UE · Used equipment | $165.96 | $218.78 | $363.08 |
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 $30.20 Median $147.91 Typical High $239.88 | Facility | LL · Lease toward purchase | $30.20 | $147.91 | $239.88 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | LL · Lease toward purchase | $30.20 | $30.20 | $30.20 |
Where Pennsylvania sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 21st of 51
$389
HI $708UT $234
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.