How much rates vary
Facilitymedian $44 · 10th to 90th $35 to $363Professionalmedian $38 · 10th to 90th $27 to $52
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 $28.84 Median $30.20 Typical High $30.20 | Facility | None | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | None | $28.84 | $28.84 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | UE · Used equipment | $21.38 | $21.38 | $22.39 |
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 $5.25 Median $41.69 Typical High $52.48 | Professional | None | $5.25 | $41.69 | $52.48 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | UE · Used equipment | $30.90 | $30.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None | $30.20 | $35.48 | $46.77 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | UE · Used equipment | $19.05 | $19.05 | $19.05 |
Emblem Health Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $54.95 | Professional | None | $35.48 | $50.12 | $54.95 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $54.95 | Professional | None | $32.36 | $38.02 | $54.95 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.80 Typical High $5.50 | Professional | RR · Rental | $3.24 | $3.80 | $5.50 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $28.84 Typical High $40.74 | Professional | UE · Used equipment | $24.55 | $28.84 | $40.74 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Martin's Point Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | UE · Used equipment | $21.38 | $21.38 | $22.39 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $194.98 Typical High $338.84 | Facility | None | $43.65 | $194.98 | $338.84 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.37 Median $19.95 Typical High $33.88 | Facility | RR · Rental | $4.37 | $19.95 | $33.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | None | $43.65 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $4.37 | $5.25 | $5.25 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $43.65 | Professional | None | $19.50 | $26.92 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.69 Typical High $4.37 | Professional | RR · Rental | $1.95 | $2.69 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $20.42 Typical High $32.36 | Professional | UE · Used equipment | $14.45 | $20.42 | $32.36 |
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 $3.89 Median $19.05 Typical High $30.90 | Facility | LL · Lease toward purchase | $3.89 | $19.05 | $30.90 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | LL · Lease toward purchase | $3.89 | $3.89 | $3.89 |
Where Pennsylvania sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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· 28th of 51
$39.81
KS $64.57NM $23.99
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.