How much rates vary
Facilitymedian $646 · 10th to 90th $513 to $1,950Professionalmedian $501 · 10th to 90th $288 to $708
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 $524.81 Median $524.81 Typical High $1,862.09 | Facility | None | $524.81 | $524.81 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $549.54 | Professional | None | $512.86 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $257.04 Typical High $275.42 | Professional | 52 · Reduced service | $251.19 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $104.71 | $109.65 |
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 $446.68 Median $501.19 Typical High $691.83 | Professional | None | $446.68 | $501.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,949.84 | Facility | None | $630.96 | $1,047.13 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $977.24 | Professional | None | $302.00 | $602.56 | $977.24 |
Emblem Health Setting Professional Modifier None Typical Low $380.19 Median $831.76 Typical High $831.76 | Professional | None | $380.19 | $831.76 | $831.76 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,621.81 | Professional | None | $645.65 | $977.24 | $1,621.81 |
Independence Blue Cross Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $2,187.76 | Facility | None | $524.81 | $524.81 | $2,187.76 |
Martin's Point Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | None | $524.81 | $524.81 | $549.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | 52 · Reduced service | $257.04 | $257.04 | $275.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 53 · Discontinued | $104.71 | $104.71 | $109.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $1,584.89 | Facility | None | $316.23 | $524.81 | $1,584.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $645.65 | Professional | None | $316.23 | $316.23 | $645.65 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $776.25 | Facility | None | $575.44 | $645.65 | $776.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $741.31 | Professional | None | $269.15 | $323.59 | $741.31 |
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 5.0 times more in Alaska than in North Carolina. 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· 28th of 51
$525
AK $1,445NC $288
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.