How much rates vary
Facilitymedian $30 · 10th to 90th $25 to $389Professionalmedian $33 · 10th to 90th $21 to $52
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 $28.84 Median $30.20 Typical High $30.20 | Facility | None | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $30.20 | Professional | None | $19.05 | $28.84 | $30.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $21.38 Typical High $22.39 | Professional | UE · Used equipment | $14.45 | $21.38 | $22.39 |
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 $4.68 Median $41.69 Typical High $53.70 | Professional | None | $4.68 | $41.69 | $53.70 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | UE · Used equipment | $30.90 | $30.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | None | $21.38 | $25.12 | $25.12 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $50.12 | Professional | None | $32.36 | $46.77 | $50.12 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | None | $33.11 | $38.90 | $54.95 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.72 Typical High $5.25 | Professional | RR · Rental | $3.16 | $3.72 | $5.25 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | UE · Used equipment | $25.12 | $28.84 | $41.69 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $41.69 | Professional | None | $38.02 | $40.74 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $30.20 | Professional | None | $25.12 | $28.84 | $30.20 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $21.38 Typical High $22.39 | Professional | UE · Used equipment | $19.05 | $21.38 | $22.39 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $190.55 Typical High $323.59 | Facility | None | $41.69 | $190.55 | $323.59 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $3.72 Median $16.98 Typical High $28.84 | Facility | RR · Rental | $3.72 | $16.98 | $28.84 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $30.90 Median $141.25 Typical High $245.47 | Facility | UE · Used equipment | $30.90 | $141.25 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | None | $41.69 | $46.77 | $52.48 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $3.72 Median $4.17 Typical High $4.90 | Professional | RR · Rental | $3.72 | $4.17 | $4.90 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $35.48 Typical High $38.90 | Professional | UE · Used equipment | $30.90 | $35.48 | $38.90 |
United Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | None | $20.89 | $26.92 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.57 Typical High $4.27 | Professional | RR · Rental | $1.91 | $2.57 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $20.42 Typical High $33.88 | Professional | UE · Used equipment | $15.85 | $20.42 | $33.88 |
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 $3.89 Median $19.05 Typical High $30.20 | Facility | LL · Lease toward purchase | $3.89 | $19.05 | $30.20 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | LL · Lease toward purchase | $3.89 | $3.89 | $3.89 |
Where Pennsylvania sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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· 34th of 51
$33.11
HI $117NM $24.55
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.