How much rates vary
Facilitymedian $186 · 10th to 90th $26 to $813Professionalmedian $50 · 10th to 90th $41 to $93
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 $45.71 Median $407.38 Typical High $933.25 | Facility | None | $45.71 | $407.38 | $933.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $48.98 | Facility | 26 · Professional part | $24.55 | $35.48 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $23.99 Typical High $977.24 | Facility | TC · Technical part | $16.22 | $23.99 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.90 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $26.92 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $19.05 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $95.50 | Professional | None (both parts) | $58.88 | $93.33 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $43.65 | $51.29 |
AmeriHealth Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $398.11 Typical High $1,513.56 | Facility | TC · Technical part | $213.80 | $398.11 | $1,513.56 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $51.29 | $51.29 | $66.07 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $30.90 | $36.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $575.44 Median $1,412.54 Typical High $56,234.13 | Facility | None | $575.44 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $50.12 | $77.62 | $97.72 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $48.98 | $74.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $331.13 | Facility | None | $20.89 | $30.20 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $45.71 | $61.66 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $38.90 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $20.42 | $35.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $81.28 | $81.28 | $89.13 |
Geisinger Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $44.67 | Facility | None | $20.42 | $25.12 | $44.67 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $42.66 | $61.66 | $100.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $39.81 | $64.57 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $9.55 | $22.91 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $758.58 | Facility | None | $269.15 | $478.63 | $758.58 |
Independence Blue Cross Setting Facility Modifier None Typical Low $213.80 Median $1,288.25 Typical High $20,892.96 | Facility | None | $213.80 | $1,288.25 | $20,892.96 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $1,412.54 | Facility | TC · Technical part | $208.93 | $316.23 | $1,412.54 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $51.29 | $51.29 | $60.26 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $30.90 | $36.31 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $436.52 Typical High $933.25 | Facility | None | $45.71 | $436.52 | $933.25 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $50.12 | Facility | 26 · Professional part | $24.55 | $32.36 | $50.12 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $29.51 Typical High $1,202.26 | Facility | TC · Technical part | $16.22 | $29.51 | $1,202.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $38.90 | $45.71 | $81.28 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $26.92 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $19.05 | $30.90 |
Oscar Health Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $426.58 | Facility | None | $257.04 | $316.23 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $50.12 | $56.23 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $275.42 Typical High $537.03 | Facility | None | $46.77 | $275.42 | $537.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $46.77 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $39.81 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $12.88 Typical High $19.05 | Professional | TC · Technical part | $12.88 | $12.88 | $19.05 |
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 $42.66 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $42.66 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $37.15 | Professional | TC · Technical part | $16.22 | $19.50 | $37.15 |
7 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 Facility Modifier 59 · Distinct service Typical Low $331.13 Median $426.58 Typical High $1,096.48 | Facility | 59 · Distinct service | $331.13 | $426.58 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $22.91 Typical High $24.55 | Professional | 52 · Reduced service | $19.50 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $7.76 | $9.12 | $9.77 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $239.88 Median $489.78 Typical High $812.83 | Facility | XU · Unusual separate service | $239.88 | $489.78 | $812.83 |
Martin's Point Setting Facility Modifier 59 · Distinct service Typical Low $331.13 Median $426.58 Typical High $1,096.48 | Facility | 59 · Distinct service | $331.13 | $426.58 | $1,096.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $9.12 | $9.12 |
Where Pennsylvania sits
The same service costs 6.5 times more in Minnesota 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· 43rd of 51
$53.70
MN $295KY $45.71
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.