How much rates vary
Facilitymedian $141 · 10th to 90th $28 to $3,020Professionalmedian $48 · 10th to 90th $32 to $78
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 $50.12 Median $2,137.96 Typical High $7,943.28 | Facility | None | $50.12 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $53.70 | Professional | None | $29.51 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $32.36 Typical High $37.15 | Professional | 54 · Surgery only | $21.88 | $32.36 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $77.62 | Professional | None | $48.98 | $77.62 | $77.62 |
AmeriHealth Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
AmeriHealth Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $50.12 | Professional | None | $25.12 | $39.81 | $50.12 |
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 Typical Low $48.98 Median $51.29 Typical High $91.20 | Professional | None | $48.98 | $51.29 | $91.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $75.86 Typical High $134.90 | Professional | 50 · Both sides | $74.13 | $75.86 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $50.12 Typical High $575.44 | Facility | None | $23.99 | $50.12 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $79.43 | Professional | None | $32.36 | $47.86 | $79.43 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | None | $64.57 | $83.18 | $83.18 |
Geisinger Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $50.12 | Facility | None | $22.91 | $28.18 | $50.12 |
Geisinger Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $97.72 | Professional | None | $36.31 | $52.48 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $691.83 Typical High $1,348.96 | Facility | None | $190.55 | $691.83 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | None | $51.29 | $54.95 | $63.10 |
Independence Blue Cross Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $3,467.37 | Facility | None | $707.95 | $891.25 | $3,467.37 |
Independence Blue Cross Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $50.12 | Professional | None | $25.12 | $39.81 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $50.12 Median $1,995.26 Typical High $7,244.36 | Facility | None | $50.12 | $1,995.26 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $51.29 | Professional | None | $29.51 | $42.66 | $51.29 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $32.36 Typical High $37.15 | Professional | 54 · Surgery only | $21.88 | $32.36 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | None | $56.23 | $56.23 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.11 Median $380.19 Typical High $1,047.13 | Facility | None | $33.11 | $380.19 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $51.29 | Professional | None | $33.11 | $48.98 | $51.29 |
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 Typical Low $35.48 Median $53.70 Typical High $77.62 | Professional | None | $35.48 | $53.70 | $77.62 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 59 · Distinct service | $51.29 | $54.95 | $54.95 |
Where Pennsylvania sits
The same service costs 3.3 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· 39th of 51
$48.98
AK $135KY $40.74
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.