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 $15.14 Median $23.44 Typical High $42.66 | Facility | None | $15.14 | $23.44 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $15.85 | Professional | None | $12.59 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.24 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.16 |
Capital Blue Cross Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $5,011.87 | Facility | None | $72.44 | $95.50 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | None | $14.45 | $14.45 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $25.70 Typical High $56.23 | Facility | None | $12.59 | $25.70 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $33.11 | Professional | None | $8.32 | $18.20 | $33.11 |
Emblem Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $26.92 | Professional | None | $8.71 | $8.71 | $26.92 |
Geisinger Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Geisinger Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $33.88 | Professional | None | $14.13 | $18.62 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $114.82 | Facility | None | $56.23 | $67.61 | $114.82 |
Martin's Point Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $42.66 | Facility | None | $15.14 | $26.30 | $42.66 |
Martin's Point Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $15.85 | Professional | None | $13.80 | $15.14 | $15.85 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.94 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.16 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $45.71 | Facility | None | $18.62 | $20.42 | $45.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $20.42 | Professional | None | $16.22 | $18.62 | $20.42 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $22.39 | Facility | None | $16.60 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $28.18 | Professional | None | $7.76 | $12.02 | $28.18 |
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 90 · Outside lab Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 90 · Outside lab | $14.13 | $14.13 | $14.13 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 27th of 51
$15.85
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.