How much rates vary
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 $199.53 Median $199.53 Typical High $512.86 | Facility | None | $199.53 | $199.53 | $512.86 |
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 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $223.87 Typical High $288.40 | Facility | None | $87.10 | $223.87 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $295.12 | Facility | None | $151.36 | $177.83 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $512.86 | Facility | None | $199.53 | $199.53 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $64.57 | Facility | None | $23.99 | $39.81 | $64.57 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
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 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 26 · Professional part | $190.55 | $190.55 | $204.17 |
Where Pennsylvania sits
The same service costs 14.5 times more in New Hampshire 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· 24th of 49
$200
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.