How much rates vary
Facilitymedian $170 · 10th to 90th $39 to $347Professionalmedian $34 · 10th to 90th $28 to $59
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 $33.88 Median $91.20 Typical High $346.74 | Facility | None | $33.88 | $91.20 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $24.55 | Facility | 26 · Professional part | $9.33 | $12.59 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $263.03 | Facility | TC · Technical part | $19.95 | $32.36 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $27.54 | $33.11 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $15.14 | Professional | 26 · Professional part | $8.91 | $10.23 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $22.91 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $23.44 | $28.84 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.13 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $14.13 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $17.38 | $25.12 | $34.67 |
AmeriHealth Setting Facility Modifier None Typical Low $56.23 Median $97.72 Typical High $208.93 | Facility | None | $56.23 | $97.72 | $208.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $53.70 | Professional | None (both parts) | $35.48 | $41.69 | $53.70 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $12.88 | $23.44 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $28.84 | $28.84 | $37.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $5,011.87 | Facility | TC · Technical part | $104.71 | $128.82 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $70.79 | Professional | None (both parts) | $32.36 | $47.86 | $70.79 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $17.78 | $26.30 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $31.62 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $281.84 | Facility | None | $44.67 | $75.86 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $21.38 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $7.41 | $11.22 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $13.80 | $19.50 | $38.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $39.81 | $46.77 | $58.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $23.44 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $23.44 | $34.67 | $66.07 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $8.71 | $11.75 | $21.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $14.79 | $23.99 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $338.84 | Facility | None | $81.28 | $194.98 | $338.84 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $407.38 | Facility | TC · Technical part | $141.25 | $263.03 | $407.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $44.67 | Professional | None (both parts) | $33.88 | $38.90 | $44.67 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $10.23 | $11.48 | $17.78 |
Independence Blue Cross Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $2,041.74 | Facility | None | $67.61 | $107.15 | $2,041.74 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $50.12 | Professional | None (both parts) | $34.67 | $41.69 | $50.12 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $12.88 | $24.55 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | TC · Technical part | $28.84 | $28.84 | $34.67 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $97.72 Typical High $371.54 | Facility | None | $33.88 | $97.72 | $371.54 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $24.55 | Facility | 26 · Professional part | $9.33 | $12.59 | $24.55 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $263.03 | Facility | TC · Technical part | $19.95 | $32.36 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $27.54 | $33.11 | $47.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $10.23 | $14.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $22.39 | $32.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.72 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $10.72 | $33.11 | $60.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $91.20 Typical High $144.54 | Facility | None | $32.36 | $91.20 | $144.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $10.23 | $12.02 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | TC · Technical part | $20.42 | $20.42 | $21.88 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $27.54 | $32.36 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $10.96 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $21.88 | $38.90 |
3 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 PN · Off-campus dept, non-excepted Typical Low $33.11 Median $75.86 Typical High $199.53 | Facility | PN · Off-campus dept, non-excepted | $33.11 | $75.86 | $199.53 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $32.36 Median $79.43 Typical High $194.98 | Facility | PN · Off-campus dept, non-excepted | $32.36 | $79.43 | $194.98 |
Martin's Point Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $33.11 Median $75.86 Typical High $199.53 | Facility | PN · Off-campus dept, non-excepted | $33.11 | $75.86 | $199.53 |
Where Pennsylvania sits
The same service costs 17.0 times more in Vermont than in Florida. 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
$34.67
VT $447FL $26.30
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.