How much rates vary
Facilitymedian $209 · 10th to 90th $40 to $372Professionalmedian $37 · 10th to 90th $30 to $65
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 $37.15 Median $208.93 Typical High $338.84 | Facility | None | $37.15 | $208.93 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $22.39 | Facility | 26 · Professional part | $10.00 | $13.80 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $100.00 | Facility | TC · Technical part | $22.39 | $29.51 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $52.48 | Professional | None (both parts) | $30.20 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $10.96 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $25.12 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $20.42 | $30.90 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $10.47 | $15.49 | $18.20 |
AmeriHealth Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $53.70 | $53.70 | $61.66 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $13.80 | $13.80 | $18.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $114.82 Median $5,011.87 Typical High $5,011.87 | Facility | None | $114.82 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $5,011.87 | Facility | TC · Technical part | $114.82 | $141.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $77.62 | Professional | None (both parts) | $35.48 | $52.48 | $77.62 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $10.96 | $18.62 | $28.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $363.08 | Facility | None | $48.98 | $85.11 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $23.44 | $33.11 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $7.94 | $11.75 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $15.49 | $21.88 | $42.66 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $42.66 | $51.29 | $64.57 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $25.70 | $38.02 | $72.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $12.59 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $16.60 | $26.30 | $50.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $371.54 | Facility | None | $70.79 | $218.78 | $371.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $50.12 | Professional | None (both parts) | $38.02 | $43.65 | $50.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $10.96 | $12.30 | $18.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $218.78 | Facility | None | $79.43 | $102.33 | $218.78 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $53.70 | $58.88 | $61.66 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $13.80 | $21.88 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $229.09 Typical High $338.84 | Facility | None | $37.15 | $229.09 | $338.84 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $22.39 | Facility | 26 · Professional part | $10.00 | $13.80 | $22.39 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $100.00 | Facility | TC · Technical part | $22.39 | $30.90 | $100.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $30.20 | $36.31 | $50.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $10.96 | $14.45 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $25.12 | $33.88 |
Oscar Health Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $512.86 | Facility | None | $204.17 | $269.15 | $512.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $11.48 | $36.31 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $35.48 Median $257.04 Typical High $501.19 | Facility | None | $35.48 | $257.04 | $501.19 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $12.88 | $12.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | TC · Technical part | $22.91 | $22.91 | $24.55 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $30.20 | $35.48 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $11.75 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $24.55 | $43.65 |
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 $34.67 Median $81.28 Typical High $190.55 | Facility | PN · Off-campus dept, non-excepted | $34.67 | $81.28 | $190.55 |
Where Pennsylvania sits
The same service costs 4.3 times more in Minnesota 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· 36th of 51
$37.15
MN $115NY $26.92
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.