How much rates vary
Facilitymedian $398 · 10th to 90th $331 to $5,370Professionalmedian $339 · 10th to 90th $234 to $851
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 $302.00 Median $316.23 Typical High $316.23 | Facility | None | $302.00 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $380.19 | Professional | None | $302.00 | $316.23 | $380.19 |
Aetna Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | RR · Rental | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $229.09 Typical High $257.04 | Professional | UE · Used equipment | $169.82 | $229.09 | $257.04 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $44.67 Median $66.07 Typical High $81.28 | Professional | RR · Rental | $44.67 | $66.07 | $81.28 |
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 $36.31 Median $363.08 Typical High $446.68 | Professional | None | $36.31 | $363.08 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $39.81 | Facility | RR · Rental | $33.11 | $33.11 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $398.11 | Professional | None | $281.84 | $331.13 | $398.11 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | RR · Rental | $33.88 | $33.88 | $37.15 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Geisinger Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | None | $186.21 | $186.21 | $229.09 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $22.39 Median $29.51 Typical High $37.15 | Professional | RR · Rental | $22.39 | $29.51 | $37.15 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | UE · Used equipment | $138.04 | $138.04 | $169.82 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $25.12 | $33.88 | $33.88 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $354.81 | Professional | None | $302.00 | $316.23 | $354.81 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $229.09 Typical High $239.88 | Professional | UE · Used equipment | $169.82 | $229.09 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $549.54 Median $3,801.89 Typical High $6,606.93 | Facility | None | $549.54 | $3,801.89 | $6,606.93 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $42.66 Median $407.38 Typical High $691.83 | Facility | RR · Rental | $42.66 | $407.38 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $851.14 | Professional | None | $549.54 | $602.56 | $851.14 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $42.66 Median $45.71 Typical High $69.18 | Professional | RR · Rental | $42.66 | $45.71 | $69.18 |
United Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $478.63 | Professional | None | $218.78 | $269.15 | $478.63 |
United Setting Professional Modifier RR · Rental Typical Low $19.95 Median $42.66 Typical High $67.61 | Professional | RR · Rental | $19.95 | $42.66 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $199.53 Typical High $354.81 | Professional | UE · Used equipment | $165.96 | $199.53 | $354.81 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | LL · Lease toward purchase | $83.18 | $83.18 | $83.18 |
Where Pennsylvania sits
The same service costs 16.6 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· 18th of 51
$339
KS $832IL $50.12
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.