How much rates vary
Facilitymedian $95 · 10th to 90th $74 to $724Professionalmedian $74 · 10th to 90th $48 to $107
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 $58.88 Median $61.66 Typical High $61.66 | Facility | None | $58.88 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $61.66 | Professional | None | $43.65 | $58.88 | $61.66 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $43.65 Typical High $45.71 | Professional | UE · Used equipment | $33.11 | $43.65 | $45.71 |
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 $10.47 Median $85.11 Typical High $104.71 | Professional | None | $10.47 | $85.11 | $104.71 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | UE · Used equipment | $64.57 | $64.57 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Facility | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | None | $63.10 | $74.13 | $97.72 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $9.77 | Professional | RR · Rental | $5.50 | $5.50 | $9.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $41.69 | $41.69 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $109.65 | Professional | None | $70.79 | $100.00 | $109.65 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $109.65 | Professional | None | $64.57 | $75.86 | $109.65 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $6.46 Median $7.59 Typical High $10.96 | Professional | RR · Rental | $6.46 | $7.59 | $10.96 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $57.54 Typical High $81.28 | Professional | UE · Used equipment | $48.98 | $57.54 | $81.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $61.66 | Professional | None | $57.54 | $58.88 | $61.66 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | UE · Used equipment | $43.65 | $43.65 | $45.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $95.50 Median $389.05 Typical High $676.08 | Facility | None | $95.50 | $389.05 | $676.08 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $9.55 Median $43.65 Typical High $74.13 | Facility | RR · Rental | $9.55 | $43.65 | $74.13 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $70.79 Median $229.09 Typical High $398.11 | Facility | UE · Used equipment | $70.79 | $229.09 | $398.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | None | $95.50 | $107.15 | $107.15 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $9.55 | $10.72 | $10.72 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $70.79 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $97.72 | Professional | None | $40.74 | $54.95 | $97.72 |
United Setting Professional Modifier RR · Rental Typical Low $4.07 Median $5.50 Typical High $9.33 | Professional | RR · Rental | $4.07 | $5.50 | $9.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $41.69 Typical High $69.18 | Professional | UE · Used equipment | $30.90 | $41.69 | $69.18 |
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 $8.51 Median $41.69 Typical High $67.61 | Facility | LL · Lease toward purchase | $8.51 | $41.69 | $67.61 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | LL · Lease toward purchase | $8.51 | $8.51 | $8.51 |
Where Pennsylvania sits
The same service costs 4.6 times more in Kansas 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
$74.13
KS $263IL $57.54
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.