How much rates vary
Facilitymedian $257 · 10th to 90th $174 to $646Professionalmedian $170 · 10th to 90th $100 to $324
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 $173.78 Median $181.97 Typical High $616.60 | Facility | None | $173.78 | $181.97 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $181.97 | Professional | None | $169.82 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $34.67 | $36.31 |
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 $151.36 Median $165.96 Typical High $371.54 | Professional | None | $151.36 | $165.96 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $645.65 | Facility | None | $208.93 | $346.74 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $331.13 | Professional | None | $100.00 | $218.78 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $281.84 | Professional | None | $125.89 | $281.84 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Professional | None | $213.80 | $331.13 | $630.96 |
Independence Blue Cross Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $724.44 | Facility | None | $173.78 | $173.78 | $724.44 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None | $173.78 | $173.78 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $87.10 | $87.10 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $34.67 | $36.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $524.81 | Facility | None | $169.82 | $213.80 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | None | $169.82 | $169.82 | $213.80 |
United Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $257.04 | Facility | None | $190.55 | $213.80 | $257.04 |
United Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $257.04 | Professional | None | $89.13 | $128.82 | $257.04 |
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 3.7 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· 31st of 51
$174
AK $479OK $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.