How much rates vary
Facilitymedian $245 · 10th to 90th $162 to $603Professionalmedian $162 · 10th to 90th $105 to $302
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 $173.78 Typical High $588.84 | Facility | None | $162.18 | $173.78 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $173.78 | Professional | None | $158.49 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $33.11 | $34.67 |
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 Typical Low $141.25 Median $158.49 Typical High $457.09 | Professional | None | $141.25 | $158.49 | $457.09 |
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 $95.50 Median $213.80 Typical High $309.03 | Professional | None | $95.50 | $213.80 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $263.03 | Professional | None | $120.23 | $263.03 | $263.03 |
Geisinger Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $588.84 | Professional | None | $204.17 | $309.03 | $588.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $691.83 | Facility | None | $162.18 | $162.18 | $691.83 |
Martin's Point Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None | $162.18 | $162.18 | $173.78 |
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 $33.11 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $34.67 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $501.19 | Facility | None | $204.17 | $208.93 | $501.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | None | $204.17 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $245.47 | Facility | None | $181.97 | $204.17 | $245.47 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $245.47 | Professional | None | $85.11 | $120.23 | $245.47 |
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 3.5 times more in Alaska 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· 40th of 51
$162
AK $457OK $132
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.