How much rates vary
Facilitymedian $79 · 10th to 90th $74 to $851Professionalmedian $79 · 10th to 90th $58 to $112
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 $61.66 Median $64.57 Typical High $64.57 | Facility | None | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | UE · Used equipment | $45.71 | $45.71 | $48.98 |
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 $11.22 Median $89.13 Typical High $112.20 | Professional | None | $11.22 | $89.13 | $112.20 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | UE · Used equipment | $67.61 | $67.61 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None | $63.10 | $74.13 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $114.82 | Professional | None | $74.13 | $104.71 | $114.82 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Geisinger Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $114.82 | Professional | None | $69.18 | $79.43 | $114.82 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $6.92 Median $7.94 Typical High $11.48 | Professional | RR · Rental | $6.92 | $7.94 | $11.48 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $60.26 Typical High $85.11 | Professional | UE · Used equipment | $51.29 | $60.26 | $85.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | None | $61.66 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | UE · Used equipment | $45.71 | $45.71 | $48.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $407.38 Typical High $707.95 | Facility | None | $100.00 | $407.38 | $707.95 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $10.00 Median $45.71 Typical High $77.62 | Facility | RR · Rental | $10.00 | $45.71 | $77.62 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $74.13 Median $239.88 Typical High $416.87 | Facility | UE · Used equipment | $74.13 | $239.88 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | None | $100.00 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $10.00 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $10.00 | $11.22 | $11.22 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $74.13 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $102.33 | Professional | None | $42.66 | $57.54 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.75 Typical High $9.77 | Professional | RR · Rental | $4.37 | $5.75 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $43.65 Typical High $72.44 | Professional | UE · Used equipment | $32.36 | $43.65 | $72.44 |
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 $9.12 Median $44.67 Typical High $70.79 | Facility | LL · Lease toward purchase | $9.12 | $44.67 | $70.79 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | LL · Lease toward purchase | $9.12 | $9.12 | $9.12 |
Where Pennsylvania sits
The same service costs 3.0 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· 32nd of 51
$79.43
KS $182IL $60.26
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.