How much rates vary
Facilitymedian $30 · 10th to 90th $23 to $257Professionalmedian $26 · 10th to 90th $18 to $35
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 $19.50 Median $20.42 Typical High $20.42 | Facility | None | $19.50 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $20.42 | Professional | None | $14.13 | $19.50 | $20.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $14.45 Typical High $15.14 | Professional | UE · Used equipment | $10.47 | $14.45 | $15.14 |
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 $2.88 Median $28.18 Typical High $35.48 | Professional | None | $2.88 | $28.18 | $35.48 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | UE · Used equipment | $20.89 | $20.89 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | None | $23.44 | $23.44 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $30.90 | Professional | None | $19.95 | $23.44 | $30.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | RR · Rental | $1.78 | $1.78 | $1.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | UE · Used equipment | $13.18 | $13.18 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $36.31 | Professional | None | $23.44 | $33.11 | $36.31 |
Geisinger Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Geisinger Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | None | $21.88 | $25.70 | $36.31 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.57 Typical High $3.63 | Professional | RR · Rental | $2.19 | $2.57 | $3.63 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $19.05 Typical High $27.54 | Professional | UE · Used equipment | $16.22 | $19.05 | $27.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | None | $26.30 | $26.30 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $20.42 | Professional | None | $19.50 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | UE · Used equipment | $14.45 | $14.45 | $15.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $138.04 Typical High $234.42 | Facility | None | $30.20 | $138.04 | $234.42 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $3.02 Median $13.80 Typical High $23.99 | Facility | RR · Rental | $3.02 | $13.80 | $23.99 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $22.91 Median $104.71 Typical High $177.83 | Facility | UE · Used equipment | $22.91 | $104.71 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | None | $30.20 | $35.48 | $35.48 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.55 Typical High $3.55 | Professional | RR · Rental | $3.02 | $3.55 | $3.55 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | UE · Used equipment | $22.91 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $28.84 | Professional | None | $13.49 | $18.20 | $28.84 |
United Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.82 Typical High $2.88 | Professional | RR · Rental | $1.35 | $1.82 | $2.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $13.80 Typical High $21.38 | Professional | UE · Used equipment | $10.23 | $13.80 | $21.38 |
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 $2.75 Median $13.49 Typical High $21.38 | Facility | LL · Lease toward purchase | $2.75 | $13.49 | $21.38 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | LL · Lease toward purchase | $2.75 | $2.75 | $2.75 |
Where Pennsylvania sits
The same service costs 2.5 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
$25.70
KS $42.66NM $16.98
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.