How much rates vary
Facilitymedian $43 · 10th to 90th $40 to $427Professionalmedian $40 · 10th to 90th $20 to $58
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 $32.36 Median $33.88 Typical High $33.88 | Facility | None | $32.36 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | UE · Used equipment | $23.99 | $23.99 | $25.12 |
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 $46.77 Typical High $61.66 | Professional | None | $4.68 | $46.77 | $61.66 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | UE · Used equipment | $34.67 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None | $33.88 | $39.81 | $39.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
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 $40.74 Median $57.54 Typical High $63.10 | Professional | None | $40.74 | $57.54 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Geisinger Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $63.10 | Professional | None | $37.15 | $43.65 | $63.10 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.37 Typical High $6.31 | Professional | RR · Rental | $3.80 | $4.37 | $6.31 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $33.11 Typical High $46.77 | Professional | UE · Used equipment | $28.18 | $33.11 | $46.77 |
Highmark BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | UE · Used equipment | $23.99 | $23.99 | $25.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $204.17 Typical High $354.81 | Facility | None | $45.71 | $204.17 | $354.81 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.57 Median $21.88 Typical High $37.15 | Facility | RR · Rental | $4.57 | $21.88 | $37.15 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $154.88 Typical High $263.03 | Facility | UE · Used equipment | $33.88 | $154.88 | $263.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | None | $45.71 | $57.54 | $57.54 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.57 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $4.57 | $5.89 | $5.89 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $33.88 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $52.48 | Professional | None | $23.44 | $30.20 | $52.48 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.02 Typical High $5.01 | Professional | RR · Rental | $2.34 | $3.02 | $5.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $22.91 Typical High $38.02 | Professional | UE · Used equipment | $17.78 | $22.91 | $38.02 |
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 3.4 times more in Wisconsin than in Kansas. 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· 40th of 51
$39.81
WI $63.10KS $18.62
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.