How much rates vary
Facilitymedian $363 · 10th to 90th $78 to $5,129Professionalmedian $195 · 10th to 90th $151 to $316
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 $218.78 Median $1,995.26 Typical High $7,943.28 | Facility | None | $218.78 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $154.88 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $41.69 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $141.25 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $123.03 | $263.03 | $263.03 |
AmeriHealth Setting Facility Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $11,481.54 | Facility | None | $3,090.30 | $4,466.84 | $11,481.54 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
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 $165.96 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $165.96 | $199.53 | $331.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $67.61 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $131.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $2,290.87 | Facility | None | $50.12 | $100.00 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $112.20 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $47.86 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $70.79 | $144.54 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $25.70 | $245.47 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $151.36 | $239.88 | $426.58 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $64.57 | $114.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $177.83 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.50 Median $165.96 Typical High $323.59 | Facility | None | $0.50 | $165.96 | $323.59 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $10,471.29 | Facility | None | $3,981.07 | $5,370.32 | $10,471.29 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $1,995.26 Typical High $7,244.36 | Facility | None | $281.84 | $1,995.26 | $7,244.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $162.18 | $194.98 | $288.40 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $41.69 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $147.91 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $346.74 | Professional | None (both parts) | $229.09 | $331.13 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $186.21 Typical High $302.00 | Facility | None | $107.15 | $186.21 | $302.00 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $186.21 | $302.00 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $123.03 | $123.03 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $144.54 | $190.55 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $46.77 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $141.25 | $239.88 |
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 $87.10 Median $97.72 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $38.90 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $97.72 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $38.90 | $43.65 |
Where Pennsylvania sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 34th of 51
$200
AK $759TX $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.