How much rates vary
Facilitymedian $91 · 10th to 90th $65 to $1,479Professionalmedian $102 · 10th to 90th $55 to $158
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 $87.10 Median $91.20 Typical High $91.20 | Facility | None | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | UE · Used equipment | $66.07 | $66.07 | $72.44 |
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 $15.14 Median $128.82 Typical High $151.36 | Professional | None | $15.14 | $128.82 | $151.36 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | UE · Used equipment | $87.10 | $87.10 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | RR · Rental | $9.12 | $9.12 | $9.12 |
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 $95.50 Median $134.90 Typical High $144.54 | Professional | None | $95.50 | $134.90 | $144.54 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | RR · Rental | $15.49 | $15.49 | $15.49 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | None | $72.44 | $72.44 | $93.33 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $9.33 Median $11.22 Typical High $15.49 | Professional | RR · Rental | $9.33 | $11.22 | $15.49 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | UE · Used equipment | $54.95 | $54.95 | $70.79 |
Highmark BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None | $87.10 | $87.10 | $91.20 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | UE · Used equipment | $66.07 | $66.07 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $154.88 Median $707.95 Typical High $1,230.27 | Facility | None | $154.88 | $707.95 | $1,230.27 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $12.30 Median $70.79 Typical High $123.03 | Facility | RR · Rental | $12.30 | $70.79 | $123.03 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $117.49 Median $537.03 Typical High $912.01 | Facility | UE · Used equipment | $117.49 | $537.03 | $912.01 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | None | $154.88 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $12.30 Median $13.80 Typical High $15.49 | Professional | RR · Rental | $12.30 | $13.80 | $15.49 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | UE · Used equipment | $117.49 | $117.49 | $131.83 |
United Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $165.96 | Professional | None | $67.61 | $77.62 | $165.96 |
United Setting Professional Modifier RR · Rental Typical Low $6.92 Median $9.12 Typical High $15.49 | Professional | RR · Rental | $6.92 | $9.12 | $15.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $58.88 Typical High $107.15 | Professional | UE · Used equipment | $51.29 | $58.88 | $107.15 |
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 $16.60 Median $81.28 Typical High $128.82 | Facility | LL · Lease toward purchase | $16.60 | $81.28 | $128.82 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | LL · Lease toward purchase | $16.60 | $16.60 | $16.60 |
Where Pennsylvania sits
The same service costs 5.1 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· 36th of 51
$100
KS $331IL $64.57
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.