How much rates vary
Facilitymedian $81 · 10th to 90th $60 to $871Professionalmedian $68 · 10th to 90th $48 to $102
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 $50.12 Median $53.70 Typical High $53.70 | Facility | None | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $57.54 | Professional | None | $46.77 | $50.12 | $57.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | UE · Used equipment | $35.48 | $38.02 | $40.74 |
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 $8.13 Median $74.13 Typical High $81.28 | Professional | None | $8.13 | $74.13 | $81.28 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $54.95 Typical High $61.66 | Professional | UE · Used equipment | $50.12 | $54.95 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $83.18 | Professional | None | $54.95 | $77.62 | $83.18 |
Geisinger Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Geisinger Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $83.18 | Professional | None | $50.12 | $63.10 | $83.18 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $5.01 Median $6.31 Typical High $8.32 | Professional | RR · Rental | $5.01 | $6.31 | $8.32 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $46.77 Typical High $63.10 | Professional | UE · Used equipment | $38.02 | $46.77 | $63.10 |
Highmark BCBS Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $77.62 | Professional | None | $57.54 | $63.10 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $53.70 | Professional | None | $47.86 | $50.12 | $53.70 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | UE · Used equipment | $35.48 | $38.02 | $39.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $91.20 Median $467.74 Typical High $794.33 | Facility | None | $91.20 | $467.74 | $794.33 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $9.12 Median $46.77 Typical High $79.43 | Facility | RR · Rental | $9.12 | $46.77 | $79.43 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $102.33 | Professional | None | $91.20 | $100.00 | $102.33 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $9.12 Median $10.00 Typical High $10.23 | Professional | RR · Rental | $9.12 | $10.00 | $10.23 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $93.33 | Professional | None | $45.71 | $60.26 | $93.33 |
United Setting Professional Modifier RR · Rental Typical Low $4.57 Median $5.75 Typical High $8.91 | Professional | RR · Rental | $4.57 | $5.75 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $43.65 Typical High $66.07 | Professional | UE · Used equipment | $33.88 | $43.65 | $66.07 |
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 $10.72 Median $52.48 Typical High $83.18 | Facility | LL · Lease toward purchase | $10.72 | $52.48 | $83.18 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | LL · Lease toward purchase | $10.72 | $10.72 | $10.72 |
Where Pennsylvania sits
The same service costs 2.9 times more in Hawaii 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· 37th of 51
$67.61
HI $138NM $47.86
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.