How much rates vary
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 $42.66 Median $44.67 Typical High $44.67 | Facility | None | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | UE · Used equipment | $32.36 | $32.36 | $33.88 |
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 $6.46 Median $61.66 Typical High $79.43 | Professional | None | $6.46 | $61.66 | $79.43 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | UE · Used equipment | $46.77 | $46.77 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | None | $39.81 | $46.77 | $46.77 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $81.28 | Professional | None | $52.48 | $74.13 | $81.28 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $81.28 | Professional | None | $48.98 | $57.54 | $81.28 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.75 Typical High $8.13 | Professional | RR · Rental | $4.90 | $5.75 | $8.13 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $42.66 Typical High $61.66 | Professional | UE · Used equipment | $36.31 | $42.66 | $61.66 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None | $42.66 | $42.66 | $44.67 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | UE · Used equipment | $32.36 | $32.36 | $33.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $66.07 Median $302.00 Typical High $512.86 | Facility | None | $66.07 | $302.00 | $512.86 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $6.61 Median $30.20 Typical High $51.29 | Facility | RR · Rental | $6.61 | $30.20 | $51.29 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $48.98 Median $223.87 Typical High $380.19 | Facility | UE · Used equipment | $48.98 | $223.87 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | None | $66.07 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | RR · Rental | $6.61 | $7.76 | $7.76 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $48.98 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $67.61 | Professional | None | $29.51 | $40.74 | $67.61 |
United Setting Professional Modifier RR · Rental Typical Low $2.95 Median $4.07 Typical High $6.76 | Professional | RR · Rental | $2.95 | $4.07 | $6.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $30.20 Typical High $50.12 | Professional | UE · Used equipment | $21.88 | $30.20 | $50.12 |
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 $5.89 Median $28.84 Typical High $46.77 | Facility | LL · Lease toward purchase | $5.89 | $28.84 | $46.77 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | LL · Lease toward purchase | $5.89 | $5.89 | $5.89 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana than in Arizona. 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· 33rd of 51
$52.48
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.