How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $5,012Professionalmedian $851 · 10th to 90th $85 to $1,622
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 $851.14 Median $891.25 Typical High $891.25 | Facility | None | $851.14 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $954.99 | Professional | None | $851.14 | $891.25 | $954.99 |
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 $162.18 Median $1,230.27 Typical High $1,621.81 | Professional | None | $162.18 | $1,230.27 | $1,621.81 |
Capital Blue Cross Setting Professional Modifier RR · Rental Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $131.83 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $831.76 | Professional | RR · Rental | $74.13 | $74.13 | $831.76 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $165.96 Median $239.88 Typical High $275.42 | Professional | RR · Rental | $165.96 | $239.88 | $275.42 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | RR · Rental | $162.18 | $162.18 | $162.18 |
Geisinger Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | RR · Rental | $97.72 | $114.82 | $162.18 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $954.99 | Professional | None | $851.14 | $891.25 | $954.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | RR · Rental | $107.15 | $107.15 | $117.49 |
United Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $691.83 | Professional | None | $74.13 | $87.10 | $691.83 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $79.43 Typical High $123.03 | Professional | RR · Rental | $63.10 | $79.43 | $123.03 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $660.69 Typical High $724.44 | Professional | UE · Used equipment | $630.96 | $660.69 | $724.44 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 50 · Both sides | $162.18 | $162.18 | $162.18 |
Capital Blue Cross Setting Professional Modifier LL · Lease toward purchase Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | LL · Lease toward purchase | $144.54 | $162.18 | $162.18 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | UE · Used equipment | $575.44 | $575.44 | $575.44 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $660.69 Typical High $724.44 | Professional | UE · Used equipment | $630.96 | $660.69 | $724.44 |
Where Pennsylvania sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 25th of 51
$851
ND $1,950DE $85.11
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.