How much rates vary
Facilitymedian $42 · 10th to 90th $39 to $427Professionalmedian $39 · 10th to 90th $26 to $56
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 $31.62 Median $33.11 Typical High $33.11 | Facility | None | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $35.48 | Professional | None | $20.89 | $31.62 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $23.44 Typical High $24.55 | Professional | UE · Used equipment | $15.85 | $23.44 | $24.55 |
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 $5.89 Median $45.71 Typical High $58.88 | Professional | None | $5.89 | $45.71 | $58.88 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | UE · Used equipment | $33.88 | $33.88 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
Emblem Health Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $60.26 | Professional | None | $38.90 | $56.23 | $60.26 |
Geisinger Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Geisinger Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | None | $36.31 | $42.66 | $60.26 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.63 Median $4.27 Typical High $6.03 | Professional | RR · Rental | $3.63 | $4.27 | $6.03 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $31.62 Typical High $45.71 | Professional | UE · Used equipment | $27.54 | $31.62 | $45.71 |
Highmark BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None | $44.67 | $44.67 | $45.71 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $33.11 | Professional | None | $27.54 | $31.62 | $33.11 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | UE · Used equipment | $20.89 | $23.44 | $24.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $208.93 Typical High $354.81 | Facility | None | $45.71 | $208.93 | $354.81 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.57 Median $20.89 Typical High $35.48 | Facility | RR · Rental | $4.57 | $20.89 | $35.48 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $154.88 Typical High $269.15 | Facility | UE · Used equipment | $33.88 | $154.88 | $269.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | None | $45.71 | $56.23 | $56.23 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.57 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $4.57 | $5.75 | $5.75 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $33.88 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $51.29 | Professional | None | $22.91 | $30.20 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.29 Median $2.95 Typical High $4.90 | Professional | RR · Rental | $2.29 | $2.95 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $22.39 Typical High $37.15 | Professional | UE · Used equipment | $16.98 | $22.39 | $37.15 |
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 $4.79 Median $23.44 Typical High $37.15 | Facility | LL · Lease toward purchase | $4.79 | $23.44 | $37.15 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | LL · Lease toward purchase | $4.79 | $4.79 | $4.79 |
Where Pennsylvania sits
The same service costs 2.2 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· 43rd of 51
$38.90
HI $64.57NM $29.51
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.