How much rates vary
Facilitymedian $174 · 10th to 90th $34 to $372Professionalmedian $30 · 10th to 90th $25 to $52
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 $30.20 Median $100.00 Typical High $371.54 | Facility | None | $30.20 | $100.00 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $20.42 | Facility | 26 · Professional part | $7.76 | $10.47 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $323.59 | Facility | TC · Technical part | $18.62 | $25.70 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $25.12 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $20.89 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $56.23 | Professional | None (both parts) | $20.89 | $26.30 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.75 Typical High $14.79 | Professional | 26 · Professional part | $7.24 | $11.75 | $14.79 |
AmeriHealth Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $114.82 | Professional | None (both parts) | $43.65 | $48.98 | $114.82 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $10.96 | $19.50 |
Capital Blue Cross Setting Facility Modifier None Typical Low $17.78 Median $5,011.87 Typical High $8,709.64 | Facility | None | $17.78 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $5,011.87 | Facility | TC · Technical part | $97.72 | $117.49 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $28.84 | $42.66 | $63.10 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.14 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $15.14 | $21.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $70.79 Typical High $281.84 | Facility | None | $40.74 | $70.79 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $26.92 Typical High $52.48 | Professional | None (both parts) | $19.05 | $26.92 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $9.33 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $18.20 Typical High $35.48 | Professional | TC · Technical part | $12.88 | $18.20 | $35.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $35.48 | $42.66 | $52.48 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $21.38 | $30.90 | $58.88 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $9.77 | $18.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $13.80 | $21.88 | $40.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $323.59 | Facility | None | $70.79 | $190.55 | $323.59 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $416.87 | Facility | TC · Technical part | $120.23 | $275.42 | $416.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $27.54 | $33.11 | $38.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $10.00 | $14.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $204.17 | Facility | None | $67.61 | $87.10 | $204.17 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $48.98 | Professional | None (both parts) | $43.65 | $47.86 | $48.98 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $10.96 | $10.96 | $17.38 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $100.00 Typical High $426.58 | Facility | None | $30.20 | $100.00 | $426.58 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $17.78 | Facility | 26 · Professional part | $7.76 | $10.96 | $17.78 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $27.54 Typical High $263.03 | Facility | TC · Technical part | $18.62 | $27.54 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $25.12 | $29.51 | $42.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.30 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $29.51 | Professional | TC · Technical part | $17.38 | $20.89 | $29.51 |
Oscar Health Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $1,096.48 | Facility | None | $630.96 | $660.69 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $9.33 | $29.51 | $54.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.84 Median $93.33 Typical High $257.04 | Facility | None | $28.84 | $93.33 | $257.04 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.71 | $10.00 | $10.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $20.42 | Professional | TC · Technical part | $19.05 | $19.05 | $20.42 |
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 $25.12 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $25.12 | $28.84 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $9.33 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $35.48 | Professional | TC · Technical part | $16.22 | $19.95 | $35.48 |
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 Facility Modifier PN · Off-campus dept, non-excepted Typical Low $32.36 Median $72.44 Typical High $151.36 | Facility | PN · Off-campus dept, non-excepted | $32.36 | $72.44 | $151.36 |
Where Pennsylvania sits
The same service costs 5.0 times more in Vermont than in New York. 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· 40th of 51
$30.20
VT $110NY $21.88
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.