How much rates vary
Facilitymedian $17 · 10th to 90th $15 to $141Professionalmedian $17 · 10th to 90th $11 to $22
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 $12.30 Median $12.88 Typical High $12.88 | Facility | None | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | None | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.55 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.55 |
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 $17.78 Median $17.78 Typical High $23.44 | Professional | None | $17.78 | $17.78 | $23.44 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $13.18 Typical High $17.38 | Professional | UE · Used equipment | $13.18 | $13.18 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | None | $12.88 | $15.14 | $19.95 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $23.99 | Professional | None | $15.49 | $21.88 | $23.99 |
Geisinger Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Geisinger Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $23.99 | Professional | None | $14.45 | $16.60 | $23.99 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.66 Typical High $2.40 | Professional | RR · Rental | $1.45 | $1.66 | $2.40 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $12.59 Typical High $18.20 | Professional | UE · Used equipment | $10.72 | $12.59 | $18.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
Martin's Point Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | None | $12.30 | $12.30 | $12.88 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.55 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $75.86 Typical High $131.83 | Facility | None | $16.98 | $75.86 | $131.83 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $1.66 Median $7.59 Typical High $13.18 | Facility | RR · Rental | $1.66 | $7.59 | $13.18 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $12.59 Median $57.54 Typical High $97.72 | Facility | UE · Used equipment | $12.59 | $57.54 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | None | $16.98 | $21.88 | $21.88 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $1.66 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $1.66 | $2.19 | $2.19 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $12.59 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $19.95 | Professional | None | $8.71 | $11.48 | $19.95 |
United Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.15 Typical High $1.91 | Professional | RR · Rental | $0.87 | $1.15 | $1.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $8.71 Typical High $14.45 | Professional | UE · Used equipment | $6.61 | $8.71 | $14.45 |
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 $1.78 Median $8.71 Typical High $13.80 | Facility | LL · Lease toward purchase | $1.78 | $8.71 | $13.80 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | LL · Lease toward purchase | $1.78 | $1.78 | $1.78 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas 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· 28th of 51
$16.98
KS $24.55NM $10.72
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.