How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $5,012Professionalmedian $263 · 10th to 90th $48 to $275
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 $263.03 Median $275.42 Typical High $275.42 | Facility | None | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | None | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | UE · Used equipment | $199.53 | $199.53 | $208.93 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
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 $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Capital Blue Cross Setting Professional Modifier KR · Partial-month rental Typical Low $1.45 Median $1.62 Typical High $1.62 | Professional | KR · Partial-month rental | $1.45 | $1.62 | $1.62 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $33.88 | Facility | RR · Rental | $31.62 | $31.62 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $52.48 Median $64.57 Typical High $91.20 | Professional | RR · Rental | $52.48 | $64.57 | $91.20 |
Geisinger Setting Facility Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | RR · Rental | $50.12 | $50.12 | $50.12 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Geisinger Setting Professional Modifier RR · Rental Typical Low $29.51 Median $30.90 Typical High $50.12 | Professional | RR · Rental | $29.51 | $30.90 | $50.12 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $36.31 Typical High $41.69 | Professional | RR · Rental | $35.48 | $36.31 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | None | $263.03 | $263.03 | $275.42 |
Martin's Point Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | UE · Used equipment | $199.53 | $199.53 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Facility Modifier RR · Rental Typical Low $46.77 Median $218.78 Typical High $371.54 | Facility | RR · Rental | $46.77 | $218.78 | $371.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Professional Modifier RR · Rental Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $46.77 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $38.02 | Professional | None | $22.39 | $23.99 | $38.02 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $29.51 Typical High $38.02 | Professional | RR · Rental | $23.44 | $29.51 | $38.02 |
3 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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | QF · Oxygen over 4 L/min at rest + portable | $30.90 | $30.90 | $30.90 |
Geisinger Setting Professional Modifier MS · Maintenance fee Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | MS · Maintenance fee | $69.18 | $69.18 | $69.18 |
UPMC Health Plan Setting Professional Modifier MS · Maintenance fee Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | MS · Maintenance fee | $69.18 | $72.44 | $72.44 |
Where Pennsylvania sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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
$263
WY $676HI $22.39
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.