How much rates vary
Facilitymedian $9 · 10th to 90th $8 to $91Professionalmedian $8 · 10th to 90th $5 to $11
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 $6.31 Median $6.76 Typical High $6.76 | Facility | None | $6.31 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | None | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | UE · Used equipment | $4.79 | $4.79 | $5.01 |
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 $0.93 Median $9.33 Typical High $11.75 | Professional | None | $0.93 | $9.33 | $11.75 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $8.91 | Professional | UE · Used equipment | $6.92 | $6.92 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $7.94 | Professional | None | $6.76 | $7.94 | $7.94 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | RR · Rental | $0.56 | $0.56 | $0.56 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | UE · Used equipment | $4.17 | $4.17 | $4.17 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $12.30 | Professional | None | $7.94 | $11.22 | $12.30 |
Geisinger Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Geisinger Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $12.30 | Professional | None | $7.24 | $8.51 | $12.30 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.85 Typical High $1.23 | Professional | RR · Rental | $0.72 | $0.85 | $1.23 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $6.46 Typical High $9.12 | Professional | UE · Used equipment | $5.50 | $6.46 | $9.12 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.91 | Professional | None | $8.32 | $8.32 | $8.91 |
Martin's Point Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Martin's Point Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.76 | Professional | None | $6.31 | $6.31 | $6.76 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | UE · Used equipment | $4.79 | $4.79 | $5.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.55 Median $43.65 Typical High $74.13 | Facility | None | $9.55 | $43.65 | $74.13 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $0.95 Median $4.37 Typical High $7.41 | Facility | RR · Rental | $0.95 | $4.37 | $7.41 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $7.24 Median $32.36 Typical High $56.23 | Facility | UE · Used equipment | $7.24 | $32.36 | $56.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $11.48 | Professional | None | $9.55 | $11.48 | $11.48 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $0.95 Median $1.15 Typical High $1.15 | Professional | RR · Rental | $0.95 | $1.15 | $1.15 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $7.24 Median $8.71 Typical High $8.71 | Professional | UE · Used equipment | $7.24 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $9.77 | Professional | None | $4.27 | $6.03 | $9.77 |
United Setting Professional Modifier RR · Rental Typical Low $0.43 Median $0.60 Typical High $0.98 | Professional | RR · Rental | $0.43 | $0.60 | $0.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.24 Median $4.47 Typical High $7.24 | Professional | UE · Used equipment | $3.24 | $4.47 | $7.24 |
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 $0.87 Median $4.27 Typical High $6.76 | Facility | LL · Lease toward purchase | $0.87 | $4.27 | $6.76 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | LL · Lease toward purchase | $0.87 | $0.87 | $0.87 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in Illinois. 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· 39th of 51
$7.94
KS $14.45IL $6.31
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.