How much rates vary
Facilitymedian $257 · 10th to 90th $195 to $4,266Professionalmedian $234 · 10th to 90th $126 to $537
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 $199.53 Median $208.93 Typical High $208.93 | Facility | None | $199.53 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | None | $199.53 | $208.93 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | UE · Used equipment | $147.91 | $154.88 | $177.83 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | RR · Rental | $39.81 | $39.81 | $48.98 |
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 $213.80 Median $288.40 Typical High $288.40 | Professional | None | $213.80 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Facility | None | $194.98 | $194.98 | $257.04 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.70 | Facility | RR · Rental | $19.50 | $19.50 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | None | $165.96 | $194.98 | $257.04 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | RR · Rental | $16.60 | $16.60 | $19.50 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | RR · Rental | $24.55 | $24.55 | $26.30 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | RR · Rental | $26.30 | $26.30 | $26.30 |
Geisinger Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $15.85 Median $21.38 Typical High $26.30 | Professional | RR · Rental | $15.85 | $21.38 | $26.30 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | UE · Used equipment | $93.33 | $93.33 | $114.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $245.47 | Professional | None | $181.97 | $245.47 | $245.47 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | RR · Rental | $18.20 | $21.88 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Martin's Point Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $239.88 | Professional | None | $199.53 | $208.93 | $239.88 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | UE · Used equipment | $147.91 | $154.88 | $177.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $2,290.87 Typical High $3,981.07 | Facility | None | $363.08 | $2,290.87 | $3,981.07 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $27.54 Median $239.88 Typical High $416.87 | Facility | RR · Rental | $27.54 | $239.88 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $537.03 | Professional | None | $363.08 | $380.19 | $537.03 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $27.54 Median $29.51 Typical High $40.74 | Professional | RR · Rental | $27.54 | $29.51 | $40.74 |
United Setting Professional Modifier None Typical Low $18.62 Median $89.13 Typical High $302.00 | Professional | None | $18.62 | $89.13 | $302.00 |
United Setting Professional Modifier RR · Rental Typical Low $12.59 Median $26.92 Typical High $50.12 | Professional | RR · Rental | $12.59 | $26.92 | $50.12 |
1 more rate 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 Professional Modifier LL · Lease toward purchase Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | LL · Lease toward purchase | $56.23 | $56.23 | $56.23 |
Where Pennsylvania sits
The same service costs 27.5 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· 17th of 51
$234
KS $832IL $30.20
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.