How much rates vary
Facilitymedian $1,514 · 10th to 90th $447 to $6,166Professionalmedian $398 · 10th to 90th $245 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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $354.81 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $257.04 | $323.59 | $398.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,202.26 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $380.19 | $380.19 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $131.83 | $173.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $295.12 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $1,905.46 | Professional | None (both parts) | $234.42 | $407.38 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $489.78 | Professional | 26 · Professional part | $75.86 | $93.33 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $323.59 Typical High $1,445.44 | Professional | TC · Technical part | $158.49 | $323.59 | $1,445.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $537.03 | $676.08 | $691.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $223.87 | $398.11 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $100.00 | $199.53 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $275.42 | $316.23 | $630.96 |
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 $398.11 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $398.11 | $436.52 | $501.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $91.20 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $323.59 | $398.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $190.55 | $457.09 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $1,122.02 Typical High $2,187.76 | Facility | None | $208.93 | $1,122.02 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $208.93 | $208.93 | $416.87 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $83.18 | $83.18 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $125.89 | $331.13 |
United Setting Facility Modifier None Typical Low $302.00 Median $616.60 Typical High $3,890.45 | Facility | None | $302.00 | $616.60 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $245.47 | $398.11 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $102.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $295.12 | $537.03 |
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 52 · Reduced service Typical Low $199.53 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $87.10 | $100.00 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | XU · Unusual separate service | $194.98 | $194.98 | $194.98 |
Highmark BCBS Setting Professional Modifier 26 · Professional part + 59 · Distinct service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part + 59 · Distinct service | $102.33 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $218.78 | $251.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $87.10 | $100.00 |
Where Pennsylvania sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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
$398
AK $1,413KY $219
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.