How much rates vary
Facilitymedian $39 · 10th to 90th $36 to $417Professionalmedian $39 · 10th to 90th $28 to $52
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 $28.84 Median $30.90 Typical High $30.90 | Facility | None | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | None | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | UE · Used equipment | $21.88 | $21.88 | $22.91 |
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 $5.37 Median $42.66 Typical High $53.70 | Professional | None | $5.37 | $42.66 | $53.70 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | UE · Used equipment | $31.62 | $31.62 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | UE · Used equipment | $19.50 | $19.50 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $54.95 | Professional | None | $36.31 | $51.29 | $54.95 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | None | $33.11 | $38.90 | $54.95 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.89 Typical High $5.50 | Professional | RR · Rental | $3.31 | $3.89 | $5.50 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | UE · Used equipment | $25.12 | $28.84 | $41.69 |
Highmark BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | None | $28.84 | $28.84 | $30.90 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | UE · Used equipment | $21.88 | $21.88 | $22.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $204.17 Typical High $346.74 | Facility | None | $44.67 | $204.17 | $346.74 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $4.47 Median $18.20 Typical High $31.62 | Facility | RR · Rental | $4.47 | $18.20 | $31.62 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $33.11 Median $151.36 Typical High $257.04 | Facility | UE · Used equipment | $33.11 | $151.36 | $257.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | None | $44.67 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $4.47 | $5.25 | $5.25 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $33.11 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $45.71 | Professional | None | $19.95 | $27.54 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.75 Typical High $4.57 | Professional | RR · Rental | $2.00 | $2.75 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $20.89 Typical High $34.67 | Professional | UE · Used equipment | $14.79 | $20.89 | $34.67 |
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 $3.98 Median $19.50 Typical High $31.62 | Facility | LL · Lease toward purchase | $3.98 | $19.50 | $31.62 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | LL · Lease toward purchase | $3.98 | $3.98 | $3.98 |
Where Pennsylvania sits
The same service costs 2.6 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· 30th of 51
$38.90
KS $74.13IL $28.18
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.