How much rates vary
Facilitymedian $309 · 10th to 90th $162 to $2,884Professionalmedian $162 · 10th to 90th $120 to $339
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 $162.18 Median $169.82 Typical High $707.95 | Facility | None | $162.18 | $169.82 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $32.36 | $38.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $5,011.87 | Facility | None | $2,238.72 | $2,884.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None | $125.89 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $602.56 | Facility | None | $199.53 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $309.03 | Professional | None | $107.15 | $213.80 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $263.03 | Professional | None | $141.25 | $263.03 | $263.03 |
Geisinger Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $588.84 | Professional | None | $213.80 | $331.13 | $588.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $870.96 | Facility | None | $162.18 | $162.18 | $870.96 |
Martin's Point Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None | $162.18 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $199.53 Median $602.56 Typical High $977.24 | Facility | None | $199.53 | $602.56 | $977.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $199.53 Median $602.56 Typical High $602.56 | Professional | None | $199.53 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $239.88 | Facility | None | $181.97 | $199.53 | $239.88 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $239.88 | Professional | None | $83.18 | $120.23 | $239.88 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier 90 · Outside lab Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 90 · Outside lab | $147.91 | $147.91 | $147.91 |
Where Pennsylvania sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 41st of 51
$162
TX $490OK $129
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.