How much rates vary
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 $741.31 Median $776.25 Typical High $776.25 | Facility | None | $741.31 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | None | $741.31 | $776.25 | $831.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $575.44 Typical High $616.60 | Professional | UE · Used equipment | $549.54 | $575.44 | $616.60 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $3.02 Median $3.39 Typical High $3.39 | Professional | KR · Partial-month rental | $3.02 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | RR · Rental | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $134.90 Typical High $177.83 | Professional | RR · Rental | $107.15 | $134.90 | $177.83 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | RR · Rental | $102.33 | $102.33 | $102.33 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $61.66 Median $67.61 Typical High $120.23 | Professional | RR · Rental | $61.66 | $67.61 | $120.23 |
Martin's Point Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Martin's Point Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | None | $741.31 | $776.25 | $831.76 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $575.44 Typical High $588.84 | Professional | UE · Used equipment | $549.54 | $575.44 | $588.84 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $134.90 Median $812.83 Typical High $1,412.54 | Facility | RR · Rental | $134.90 | $812.83 | $1,412.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | RR · Rental | $134.90 | $134.90 | $177.83 |
United Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $537.03 | Professional | None | $66.07 | $67.61 | $537.03 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $89.13 Typical High $144.54 | Professional | RR · Rental | $54.95 | $89.13 | $144.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $398.11 Typical High $524.81 | Professional | UE · Used equipment | $269.15 | $398.11 | $524.81 |
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 $263.03 Median $1,288.25 Typical High $2,089.30 | Facility | LL · Lease toward purchase | $263.03 | $1,288.25 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | LL · Lease toward purchase | $263.03 | $263.03 | $263.03 |
Where Pennsylvania sits
The same service costs 11.5 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· 39th of 51
$724
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.