How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 TC · Technical part Typical Low $77.62 Median $120.23 Typical High $331.13 | Facility | TC · Technical part | $77.62 | $120.23 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $77.62 | $97.72 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $331.13 | Facility | TC · Technical part | $77.62 | $120.23 | $331.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $77.62 | $91.20 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $288.40 | Facility | None | $104.71 | $223.87 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $144.54 | $190.55 | $199.53 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $81.28 | $102.33 | $144.54 |
Where Pennsylvania sits
The same service costs 61.7 times more in Delaware than in California. 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· 28th of 51
$214
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.