How much rates vary
Professionalmedian $479 · 10th to 90th $372 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $602.56 | Professional | 26 · Professional part | $204.17 | $223.87 | $602.56 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $194.98 Typical High $194.98 | Facility | 26 · Professional part | $162.18 | $194.98 | $194.98 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $162.18 | $165.96 | $194.98 |
2 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 |
|---|---|---|---|---|---|
Oscar Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |