How much rates vary
Facilitymedian $5,129 · 10th to 90th $4,898 to $30,903Professionalmedian $4,898 · 10th to 90th $2,344 to $6,761
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 $3,715.35 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,715.35 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,890.45 | Professional | None | $3,715.35 | $3,715.35 | $3,890.45 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,951.21 |
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 $707.95 Median $5,370.32 Typical High $7,079.46 | Professional | None | $707.95 | $5,370.32 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | RR · Rental | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | RR · Rental | $436.52 | $436.52 | $512.86 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $3,981.07 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $676.08 Median $676.08 Typical High $724.44 | Professional | RR · Rental | $676.08 | $676.08 | $724.44 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | RR · Rental | $724.44 | $724.44 | $724.44 |
Geisinger Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,168.69 | Professional | None | $3,388.44 | $3,388.44 | $4,168.69 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $436.52 Median $501.19 Typical High $724.44 | Professional | RR · Rental | $436.52 | $501.19 | $724.44 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,511.89 Typical High $3,090.30 | Professional | UE · Used equipment | $2,511.89 | $2,511.89 | $3,090.30 |
Martin's Point Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Martin's Point Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,890.45 | Professional | None | $3,715.35 | $3,715.35 | $3,890.45 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,951.21 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4,897.79 Median $21,877.62 Typical High $38,018.94 | Facility | None | $4,897.79 | $21,877.62 | $38,018.94 |
UPMC Health Plan Setting Facility Modifier KA · Wheelchair add-on Typical Low $758.58 Median $3,548.13 Typical High $6,025.60 | Facility | KA · Wheelchair add-on | $758.58 | $3,548.13 | $6,025.60 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $389.05 Median $2,290.87 Typical High $3,981.07 | Facility | RR · Rental | $389.05 | $2,290.87 | $3,981.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4,897.79 Median $6,760.83 Typical High $6,760.83 | Professional | None | $4,897.79 | $6,760.83 | $6,760.83 |
UPMC Health Plan Setting Professional Modifier KA · Wheelchair add-on Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | KA · Wheelchair add-on | $758.58 | $758.58 | $776.25 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | RR · Rental | $389.05 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,862.09 | $2,344.23 | $4,265.80 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | RR · Rental | $263.03 | $354.81 | $549.54 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
UPMC Health Plan Setting Facility Modifier LL · Lease toward purchase Typical Low $457.09 Median $2,238.72 Typical High $3,548.13 | Facility | LL · Lease toward purchase | $457.09 | $2,238.72 | $3,548.13 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | LL · Lease toward purchase | $457.09 | $457.09 | $457.09 |
Where Pennsylvania sits
The same service costs 12.6 times more in Kansas than in Mississippi. 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· 22nd of 51
$4,898
KS $9,772MS $776
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.