How much rates vary
Facilitymedian $83 · 10th to 90th $78 to $933Professionalmedian $79 · 10th to 90th $59 to $115
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 $63.10 Median $66.07 Typical High $66.07 | Facility | None | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | None | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | UE · Used equipment | $46.77 | $46.77 | $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 $11.48 Median $91.20 Typical High $114.82 | Professional | None | $11.48 | $91.20 | $114.82 |
Capital Blue Cross Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | UE · Used equipment | $67.61 | $67.61 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | None | $66.07 | $77.62 | $77.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
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 $75.86 Median $107.15 Typical High $117.49 | Professional | None | $75.86 | $107.15 | $117.49 |
Geisinger Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $117.49 | Professional | None | $70.79 | $83.18 | $117.49 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $7.08 Median $8.32 Typical High $11.75 | Professional | RR · Rental | $7.08 | $8.32 | $11.75 |
Geisinger Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | UE · Used equipment | $52.48 | $61.66 | $87.10 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $87.10 | Professional | None | $79.43 | $85.11 | $87.10 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | None | $63.10 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | UE · Used equipment | $46.77 | $46.77 | $48.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $457.09 Typical High $776.25 | Facility | None | $100.00 | $457.09 | $776.25 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $10.00 Median $44.67 Typical High $77.62 | Facility | RR · Rental | $10.00 | $44.67 | $77.62 |
UPMC Health Plan Setting Facility Modifier UE · Used equipment Typical Low $74.13 Median $338.84 Typical High $575.44 | Facility | UE · Used equipment | $74.13 | $338.84 | $575.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | None | $100.00 | $114.82 | $114.82 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $10.00 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $10.00 | $11.48 | $11.48 |
UPMC Health Plan Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $74.13 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $102.33 | Professional | None | $44.67 | $58.88 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.89 Typical High $9.77 | Professional | RR · Rental | $4.47 | $5.89 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $44.67 Typical High $74.13 | Professional | UE · Used equipment | $33.11 | $44.67 | $74.13 |
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 $8.91 Median $43.65 Typical High $70.79 | Facility | LL · Lease toward purchase | $8.91 | $43.65 | $70.79 |
UPMC Health Plan Setting Professional Modifier LL · Lease toward purchase Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | LL · Lease toward purchase | $8.91 | $8.91 | $8.91 |
Where Pennsylvania sits
The same service costs 2.8 times more in Kansas than in New Mexico. 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· 31st of 51
$83.18
KS $155NM $56.23
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.