How much rates vary
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 $323.59 Median $338.84 Typical High $338.84 | Facility | None | $323.59 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $363.08 | Professional | None | $316.23 | $323.59 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $239.88 Typical High $275.42 | Professional | UE · Used equipment | $162.18 | $239.88 | $275.42 |
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 $44.67 Median $446.68 Typical High $467.74 | Professional | None | $44.67 | $446.68 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $44.67 | Facility | RR · Rental | $33.11 | $33.11 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | RR · Rental | $28.18 | $28.18 | $33.11 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | RR · Rental | $41.69 | $41.69 | $45.71 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | RR · Rental | $45.71 | $45.71 | $45.71 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $263.03 | Professional | None | $213.80 | $213.80 | $263.03 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | RR · Rental | $27.54 | $36.31 | $45.71 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | UE · Used equipment | $162.18 | $162.18 | $199.53 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $42.66 Typical High $48.98 | Professional | RR · Rental | $30.90 | $42.66 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | None | $323.59 | $323.59 | $338.84 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $239.88 Typical High $257.04 | Professional | UE · Used equipment | $162.18 | $239.88 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $588.84 Median $3,388.44 Typical High $5,888.44 | Facility | None | $588.84 | $3,388.44 | $5,888.44 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $44.67 Median $371.54 Typical High $630.96 | Facility | RR · Rental | $44.67 | $371.54 | $630.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $741.31 | Professional | None | $588.84 | $616.60 | $741.31 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $44.67 Median $47.86 Typical High $63.10 | Professional | RR · Rental | $44.67 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $436.52 | Professional | None | $194.98 | $223.87 | $436.52 |
United Setting Professional Modifier RR · Rental Typical Low $21.38 Median $40.74 Typical High $64.57 | Professional | RR · Rental | $21.38 | $40.74 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $169.82 Typical High $323.59 | Professional | UE · Used equipment | $147.91 | $169.82 | $323.59 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | LL · Lease toward purchase | $63.10 | $63.10 | $63.10 |
Where Pennsylvania sits
The same service costs 17.4 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· 31st of 51
$339
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.