How much rates vary
Facilitymedian $339 · 10th to 90th $98 to $3,311Professionalmedian $251 · 10th to 90th $204 to $380
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 $537.03 Median $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $204.17 | $251.19 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $79.43 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $181.97 | Professional | TC · Technical part | $138.04 | $162.18 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $295.12 | $309.03 | $309.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $120.23 | $151.36 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $199.53 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $309.03 Typical High $562.34 | Facility | None | $131.83 | $309.03 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $190.55 | $251.19 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $173.78 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $10.23 | $288.40 | $323.59 |
Geisinger Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $263.03 | Facility | None | $117.49 | $147.91 | $263.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $194.98 | $281.84 | $446.68 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $102.33 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $363.08 Median $1,122.02 Typical High $2,137.96 | Facility | None | $363.08 | $1,122.02 | $2,137.96 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $204.17 | $257.04 | $338.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $79.43 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $165.96 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $239.88 | $269.15 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $1,122.02 Typical High $2,187.76 | Facility | None | $218.78 | $1,122.02 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $218.78 | $263.03 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $74.13 | $75.86 | $75.86 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $144.54 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $199.53 | $245.47 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $87.10 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $158.49 | $269.15 |
4 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 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $45.71 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $112.20 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $45.71 | $51.29 |
Where Pennsylvania sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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
$257
WI $708UT $135
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.