How much rates vary
Facilitymedian $110 · 10th to 90th $110 to $5,012Professionalmedian $1,023 · 10th to 90th $93 to $1,862
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 $977.24 Median $1,023.29 Typical High $1,023.29 | Facility | None | $977.24 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,096.48 | Professional | None | $977.24 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | UE · Used equipment | $741.31 | $776.25 | $831.76 |
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 $1,479.11 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $933.25 | Professional | RR · Rental | $81.28 | $81.28 | $933.25 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $190.55 Median $275.42 Typical High $323.59 | Professional | RR · Rental | $190.55 | $275.42 | $323.59 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | RR · Rental | $190.55 | $190.55 | $190.55 |
Geisinger Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $114.82 Median $128.82 Typical High $190.55 | Professional | RR · Rental | $114.82 | $128.82 | $190.55 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,096.48 | Professional | None | $977.24 | $1,023.29 | $1,096.48 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | UE · Used equipment | $741.31 | $776.25 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | RR · Rental | $123.03 | $123.03 | $134.90 |
United Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $645.65 | Professional | None | $91.20 | $93.33 | $645.65 |
United Setting Professional Modifier RR · Rental Typical Low $61.66 Median $97.72 Typical High $162.18 | Professional | RR · Rental | $61.66 | $97.72 | $162.18 |
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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 50 · Both sides | $147.91 | $147.91 | $169.82 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $5.62 Median $6.17 Typical High $6.17 | Professional | KR · Partial-month rental | $5.62 | $6.17 | $6.17 |
Where Pennsylvania sits
The same service costs 21.4 times more in North Dakota than in Florida. 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· 12th of 51
$1,023
ND $1,995FL $93.33
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.