How much rates vary
Facilitymedian $135 · 10th to 90th $21 to $5,012Professionalmedian $28 · 10th to 90th $16 to $36
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 $19.95 Median $21.38 Typical High $21.38 | Facility | None | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | None | $19.95 | $19.95 | $21.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | UE · Used equipment | $15.14 | $15.14 | $15.85 |
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 $3.89 Median $29.51 Typical High $38.90 | Professional | None | $3.89 | $29.51 | $38.90 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | UE · Used equipment | $21.88 | $21.88 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $32.36 | Professional | None | $16.22 | $32.36 | $32.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | RR · Rental | $1.62 | $1.62 | $1.62 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | UE · Used equipment | $12.30 | $12.30 | $12.30 |
Emblem Health Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $39.81 | Professional | None | $25.70 | $36.31 | $39.81 |
Geisinger Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Geisinger Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | None | $23.99 | $27.54 | $39.81 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.75 Typical High $3.98 | Professional | RR · Rental | $2.40 | $2.75 | $3.98 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $20.89 Typical High $29.51 | Professional | UE · Used equipment | $17.78 | $20.89 | $29.51 |
Martin's Point Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | None | $19.95 | $19.95 | $21.38 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | UE · Used equipment | $15.14 | $15.14 | $15.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $134.90 Typical High $229.09 | Facility | None | $28.18 | $134.90 | $229.09 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $2.82 Median $12.59 Typical High $21.88 | Facility | RR · Rental | $2.82 | $12.59 | $21.88 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $20.89 Median $77.62 Typical High $134.90 | Facility | UE · Used equipment | $20.89 | $77.62 | $134.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $36.31 | Professional | None | $28.18 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $2.82 Median $3.63 Typical High $3.63 | Professional | RR · Rental | $2.82 | $3.63 | $3.63 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $20.89 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $33.11 | Professional | None | $14.45 | $19.05 | $33.11 |
United Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.91 Typical High $3.16 | Professional | RR · Rental | $1.45 | $1.91 | $3.16 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $14.13 Typical High $23.99 | Professional | UE · Used equipment | $10.96 | $14.13 | $23.99 |
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 $2.95 Median $14.45 Typical High $22.91 | Facility | LL · Lease toward purchase | $2.95 | $14.45 | $22.91 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | LL · Lease toward purchase | $2.95 | $2.95 | $2.95 |
Where Pennsylvania sits
The same service costs 2.5 times more in Montana than in Rhode Island. 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· 30th of 51
$28.18
MT $40.74RI $16.22
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.