How much rates vary
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 $549.54 Median $575.44 Typical High $1,995.26 | Facility | None | $549.54 | $575.44 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $575.44 | Professional | None | $537.03 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $275.42 Typical High $288.40 | Professional | 52 · Reduced service | $269.15 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $109.65 | $114.82 |
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 $478.63 Median $524.81 Typical High $1,905.46 | Professional | None | $478.63 | $524.81 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $2,041.74 | Facility | None | $676.08 | $1,096.48 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $724.44 Typical High $1,174.90 | Professional | None | $363.08 | $724.44 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $398.11 Median $891.25 Typical High $891.25 | Professional | None | $398.11 | $891.25 | $891.25 |
Geisinger Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Geisinger Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,698.24 | Professional | None | $676.08 | $1,047.13 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $1,995.26 | Facility | None | $549.54 | $549.54 | $1,995.26 |
Martin's Point Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | None | $549.54 | $549.54 | $575.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 52 · Reduced service | $275.42 | $275.42 | $288.40 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | 53 · Discontinued | $109.65 | $109.65 | $114.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,659.59 | Facility | None | $676.08 | $870.96 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $870.96 | Professional | None | $676.08 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $812.83 | Facility | None | $602.56 | $676.08 | $812.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $912.01 | Professional | None | $281.84 | $407.38 | $912.01 |
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 3.6 times more in Texas than in Delaware. 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· 43rd of 51
$550
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.