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 $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None (both parts) | $4.37 | $4.37 | $4.37 |
AmeriHealth Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $478.63 | Facility | None | $134.90 | $316.23 | $478.63 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | None (both parts) | $11.22 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $26.92 Typical High $37.15 | Professional | None (both parts) | $16.60 | $26.92 | $37.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None (both parts) | $5.01 | $5.01 | $5.01 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.94 Median $100.00 Typical High $741.31 | Facility | None | $7.94 | $100.00 | $741.31 |
Independence Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $218.78 Typical High $467.74 | Facility | None | $69.18 | $218.78 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None (both parts) | $0.04 | $0.04 | $0.04 |
United Setting Professional Modifier None (both parts) Typical Low $10.23 Median $15.49 Typical High $33.88 | Professional | None (both parts) | $10.23 | $15.49 | $33.88 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Pennsylvania sits
The same service costs 14.8 times more in Alaska than in Georgia. 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· 19th of 51
$22.91
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.