How much rates vary
Facilitymedian $69 · 10th to 90th $62 to $832Professionalmedian $81 · 10th to 90th $52 to $117
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 $64.57 Median $69.18 Typical High $69.18 | Facility | None | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | None | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | UE · Used equipment | $48.98 | $48.98 | $51.29 |
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 $12.59 Median $95.50 Typical High $123.03 | Professional | None | $12.59 | $95.50 | $123.03 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | UE · Used equipment | $70.79 | $70.79 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None | $52.48 | $61.66 | $61.66 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | RR · Rental | $6.76 | $6.76 | $6.76 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $39.81 | $39.81 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $125.89 | Professional | None | $83.18 | $117.49 | $125.89 |
Geisinger Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $125.89 | Professional | None | $75.86 | $89.13 | $125.89 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $8.51 Median $9.77 Typical High $14.13 | Professional | RR · Rental | $8.51 | $9.77 | $14.13 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | UE · Used equipment | $57.54 | $66.07 | $95.50 |
Highmark BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | None | $64.57 | $64.57 | $69.18 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | UE · Used equipment | $48.98 | $48.98 | $51.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $407.38 Typical High $691.83 | Facility | None | $89.13 | $407.38 | $691.83 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $9.77 Median $44.67 Typical High $77.62 | Facility | RR · Rental | $9.77 | $44.67 | $77.62 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $66.07 Median $302.00 Typical High $524.81 | Facility | UE · Used equipment | $66.07 | $302.00 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $117.49 | Professional | None | $89.13 | $117.49 | $117.49 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $9.77 Median $13.18 Typical High $13.18 | Professional | RR · Rental | $9.77 | $13.18 | $13.18 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $66.07 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $102.33 | Professional | None | $46.77 | $61.66 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $6.92 Typical High $11.48 | Professional | RR · Rental | $5.25 | $6.92 | $11.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | UE · Used equipment | $34.67 | $46.77 | $77.62 |
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 $7.08 Median $34.67 Typical High $54.95 | Facility | LL · Lease toward purchase | $7.08 | $34.67 | $54.95 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | LL · Lease toward purchase | $7.08 | $7.08 | $7.08 |
Where Pennsylvania sits
The same service costs 5.0 times more in Kansas than in New Jersey. 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
$81.28
KS $309NJ $61.66
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.