How much rates vary
Facilitymedian $4 · 10th to 90th $2 to $16Professionalmedian $2 · 10th to 90th $1 to $3
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 $1.78 Median $1.82 Typical High $7.76 | Facility | None | $1.78 | $1.82 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.82 Typical High $2.88 | Professional | None | $1.70 | $1.82 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.85 Median $0.87 Typical High $0.98 | Professional | 52 · Reduced service | $0.85 | $0.87 | $0.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.35 Typical High $0.39 | Professional | 53 · Discontinued | $0.34 | $0.35 | $0.39 |
AmeriHealth Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Capital Blue Cross Setting Facility Modifier None Typical Low $12.30 Median $15.85 Typical High $5,011.87 | Facility | None | $12.30 | $15.85 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.14 | Professional | None | $1.70 | $1.70 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $3.47 Typical High $6.46 | Facility | None | $1.51 | $3.47 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $2.29 Typical High $5.01 | Professional | None | $1.38 | $2.29 | $5.01 |
Emblem Health Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $3.16 | Professional | None | $1.02 | $1.02 | $3.16 |
Geisinger Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
Geisinger Setting Professional Modifier None Typical Low $1.82 Median $2.40 Typical High $3.24 | Professional | None | $1.82 | $2.40 | $3.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.02 Median $19.05 Typical High $22.91 | Facility | None | $3.02 | $19.05 | $22.91 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Martin's Point Setting Facility Modifier None Typical Low $1.78 Median $1.82 Typical High $7.41 | Facility | None | $1.78 | $1.82 | $7.41 |
Martin's Point Setting Professional Modifier None Typical Low $1.78 Median $1.82 Typical High $2.88 | Professional | None | $1.78 | $1.82 | $2.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.87 Median $0.87 Typical High $0.91 | Professional | 52 · Reduced service | $0.87 | $0.87 | $0.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.37 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.37 |
Oscar Health Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | None | $1.70 | $1.70 | $1.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.19 Median $5.37 Typical High $9.33 | Facility | None | $2.19 | $5.37 | $9.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $3.09 | Professional | None | $1.91 | $2.19 | $3.09 |
United Setting Facility Modifier None Typical Low $1.95 Median $2.57 Typical High $6.03 | Facility | None | $1.95 | $2.57 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $3.72 | Professional | None | $1.29 | $2.19 | $3.72 |
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 $1.45 Median $1.45 Typical High $1.45 | Professional | 90 · Outside lab | $1.45 | $1.45 | $1.45 |
Where Pennsylvania sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 35th of 51
$2.19
KS $5.62DC $1.74
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.