How much rates vary
Facilitymedian $74 · 10th to 90th $56 to $708Professionalmedian $58 · 10th to 90th $38 to $81
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 $44.67 Median $46.77 Typical High $46.77 | Facility | None | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $48.98 | Professional | None | $36.31 | $44.67 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $33.88 Typical High $35.48 | Professional | UE · Used equipment | $27.54 | $33.88 | $35.48 |
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 $7.08 Median $66.07 Typical High $77.62 | Professional | None | $7.08 | $66.07 | $77.62 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $48.98 Typical High $58.88 | Professional | UE · Used equipment | $47.86 | $48.98 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $7.41 | Facility | RR · Rental | $5.62 | $5.62 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | None | $47.86 | $56.23 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | RR · Rental | $4.79 | $4.79 | $6.03 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | UE · Used equipment | $34.67 | $34.67 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $79.43 | Professional | None | $52.48 | $74.13 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Geisinger Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $79.43 | Professional | None | $47.86 | $57.54 | $79.43 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.75 Typical High $7.94 | Professional | RR · Rental | $4.79 | $5.75 | $7.94 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $41.69 Typical High $60.26 | Professional | UE · Used equipment | $36.31 | $41.69 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None | $54.95 | $66.07 | $66.07 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $46.77 | Professional | None | $36.31 | $44.67 | $46.77 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $33.88 Typical High $35.48 | Professional | UE · Used equipment | $27.54 | $33.88 | $35.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $380.19 Typical High $645.65 | Facility | None | $79.43 | $380.19 | $645.65 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $7.94 Median $36.31 Typical High $61.66 | Facility | RR · Rental | $7.94 | $36.31 | $61.66 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $60.26 Median $223.87 Typical High $380.19 | Facility | UE · Used equipment | $60.26 | $223.87 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | None | $79.43 | $81.28 | $81.28 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | RR · Rental | $7.94 | $8.13 | $8.13 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | UE · Used equipment | $60.26 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $85.11 | Professional | None | $35.48 | $46.77 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $3.55 Median $4.68 Typical High $7.94 | Professional | RR · Rental | $3.55 | $4.68 | $7.94 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $34.67 Typical High $58.88 | Professional | UE · Used equipment | $26.30 | $34.67 | $58.88 |
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 $8.32 Median $40.74 Typical High $64.57 | Facility | LL · Lease toward purchase | $8.32 | $40.74 | $64.57 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | LL · Lease toward purchase | $8.32 | $8.32 | $8.32 |
Where Pennsylvania sits
The same service costs 2.3 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· 39th of 51
$58.88
HI $107IL $45.71
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.