How much rates vary
Facilitymedian $48 · 10th to 90th $45 to $457Professionalmedian $45 · 10th to 90th $30 to $63
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 $34.67 Median $36.31 Typical High $36.31 | Facility | None | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $37.15 | Professional | None | $22.39 | $34.67 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $26.30 Typical High $27.54 | Professional | UE · Used equipment | $16.60 | $26.30 | $27.54 |
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 $5.50 Median $51.29 Typical High $67.61 | Professional | None | $5.50 | $51.29 | $67.61 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | UE · Used equipment | $38.02 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.95 Median $2.95 Typical High $5.89 | Professional | RR · Rental | $2.95 | $2.95 | $5.89 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $69.18 | Professional | None | $44.67 | $63.10 | $69.18 |
Geisinger Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Geisinger Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $69.18 | Professional | None | $40.74 | $47.86 | $69.18 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.79 Typical High $6.92 | Professional | RR · Rental | $4.07 | $4.79 | $6.92 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $36.31 Typical High $51.29 | Professional | UE · Used equipment | $30.90 | $36.31 | $51.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | None | $46.77 | $46.77 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $36.31 | Professional | None | $22.39 | $34.67 | $36.31 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $26.30 Typical High $27.54 | Professional | UE · Used equipment | $16.98 | $26.30 | $27.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $48.98 Median $223.87 Typical High $380.19 | Facility | None | $48.98 | $223.87 | $380.19 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.90 Median $22.39 Typical High $38.02 | Facility | RR · Rental | $4.90 | $22.39 | $38.02 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $36.31 Median $165.96 Typical High $288.40 | Facility | UE · Used equipment | $36.31 | $165.96 | $288.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | None | $48.98 | $63.10 | $63.10 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $4.90 | $6.31 | $6.31 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $36.31 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $57.54 | Professional | None | $25.12 | $33.11 | $57.54 |
United Setting Professional Modifier RR · Rental Typical Low $2.57 Median $3.31 Typical High $5.50 | Professional | RR · Rental | $2.57 | $3.31 | $5.50 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $24.55 Typical High $41.69 | Professional | UE · Used equipment | $19.05 | $24.55 | $41.69 |
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 $6.03 Median $29.51 Typical High $46.77 | Facility | LL · Lease toward purchase | $6.03 | $29.51 | $46.77 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | LL · Lease toward purchase | $6.03 | $6.03 | $6.03 |
Where Pennsylvania sits
The same service costs 3.8 times more in Hawaii 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
$44.67
HI $123IL $32.36
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.