How much rates vary
Facilitymedian $93 · 10th to 90th $93 to $5,012Professionalmedian $794 · 10th to 90th $129 to $933
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 $870.96 Median $933.25 Typical High $933.25 | Facility | None | $870.96 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $977.24 | Professional | None | $870.96 | $933.25 | $977.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $660.69 | $691.83 | $691.83 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | KR · Partial-month rental | $3.89 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | RR · Rental | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $138.04 Median $173.78 Typical High $245.47 | Professional | RR · Rental | $138.04 | $173.78 | $245.47 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | RR · Rental | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $79.43 Median $85.11 Typical High $131.83 | Professional | RR · Rental | $79.43 | $85.11 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Martin's Point Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $933.25 | Professional | None | $870.96 | $912.01 | $933.25 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $660.69 | $691.83 | $691.83 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $158.49 Median $912.01 Typical High $1,548.82 | Facility | RR · Rental | $158.49 | $912.01 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Professional | None | $1,584.89 | $1,584.89 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $158.49 Median $162.18 Typical High $199.53 | Professional | RR · Rental | $158.49 | $162.18 | $199.53 |
United Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $691.83 | Professional | None | $79.43 | $112.20 | $691.83 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $87.10 Typical High $138.04 | Professional | RR · Rental | $53.70 | $87.10 | $138.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $512.86 Typical High $660.69 | Professional | UE · Used equipment | $346.74 | $512.86 | $660.69 |
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 $275.42 Median $1,348.96 Typical High $2,187.76 | Facility | LL · Lease toward purchase | $275.42 | $1,348.96 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | LL · Lease toward purchase | $275.42 | $275.42 | $275.42 |
Where Pennsylvania sits
The same service costs 10.0 times more in Minnesota than in Montana. 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· 46th of 51
$794
MN $1,514MT $151
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.