How much rates vary
Facilitymedian $132 · 10th to 90th $123 to $1,820Professionalmedian $141 · 10th to 90th $102 to $195
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 $102.33 Median $107.15 Typical High $107.15 | Facility | None | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | None | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $77.62 Typical High $87.10 | Professional | UE · Used equipment | $75.86 | $77.62 | $87.10 |
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 $16.98 Median $147.91 Typical High $169.82 | Professional | None | $16.98 | $147.91 | $169.82 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | UE · Used equipment | $104.71 | $109.65 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | RR · Rental | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | RR · Rental | $10.47 | $10.47 | $12.30 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $173.78 | Professional | None | $114.82 | $162.18 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Geisinger Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $173.78 | Professional | None | $104.71 | $128.82 | $173.78 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $10.47 Median $12.88 Typical High $17.38 | Professional | RR · Rental | $10.47 | $12.88 | $17.38 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $95.50 Typical High $131.83 | Professional | UE · Used equipment | $79.43 | $95.50 | $131.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | None | $120.23 | $162.18 | $162.18 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | None | $102.33 | $102.33 | $107.15 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | UE · Used equipment | $75.86 | $75.86 | $79.43 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $870.96 Typical High $1,513.56 | Facility | None | $186.21 | $870.96 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $18.62 Median $87.10 Typical High $151.36 | Facility | RR · Rental | $18.62 | $87.10 | $151.36 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $138.04 Median $660.69 Typical High $1,122.02 | Facility | UE · Used equipment | $138.04 | $660.69 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | None | $186.21 | $194.98 | $194.98 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | RR · Rental | $18.62 | $19.50 | $19.50 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $138.04 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $186.21 | Professional | None | $95.50 | $117.49 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.75 Typical High $17.78 | Professional | RR · Rental | $9.55 | $11.75 | $17.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $89.13 Typical High $131.83 | Professional | UE · Used equipment | $70.79 | $89.13 | $131.83 |
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 $20.42 Median $100.00 Typical High $158.49 | Facility | LL · Lease toward purchase | $20.42 | $100.00 | $158.49 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | LL · Lease toward purchase | $20.42 | $20.42 | $20.42 |
Where Pennsylvania sits
The same service costs 3.1 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· 38th of 51
$141
KS $324NM $105
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.