How much rates vary
Facilitymedian $355 · 10th to 90th $98 to $3,020Professionalmedian $331 · 10th to 90th $269 to $513
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 $524.81 Median $2,344.23 Typical High $8,317.64 | Facility | None | $524.81 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $269.15 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $89.13 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $239.88 | $263.03 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $134.90 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $562.34 | Facility | None | $147.91 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $263.03 | $354.81 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $91.20 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $269.15 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $10.23 | $245.47 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $295.12 | Facility | None | $134.90 | $165.96 | $295.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $263.03 | $363.08 | $602.56 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $114.82 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $1,000.00 | Facility | None | $467.74 | $501.19 | $1,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $7,244.36 | Facility | None | $537.03 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $269.15 | $338.84 | $380.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $194.98 | $239.88 | $269.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $257.04 | $389.05 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $288.40 Median $1,122.02 Typical High $2,187.76 | Facility | None | $288.40 | $1,122.02 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $288.40 | $323.59 | $323.59 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $117.49 | $117.49 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | TC · Technical part | $204.17 | $204.17 | $208.93 |
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 $275.42 Median $338.84 Typical High $575.44 | Professional | None (both parts) | $275.42 | $338.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $239.88 | $407.38 |
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 $134.90 Median $154.88 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $61.66 | $67.61 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $154.88 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $154.88 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $61.66 Typical High $67.61 | Professional | 53 · Discontinued | $53.70 | $61.66 | $67.61 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska 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· 37th of 51
$339
AK $1,000UT $209
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.