How much rates vary
Facilitymedian $288 · 10th to 90th $120 to $676Professionalmedian $115 · 10th to 90th $76 to $214
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 $114.82 Median $194.98 Typical High $338.84 | Facility | None | $114.82 | $194.98 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $154.88 | Professional | None | $112.20 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.91 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
AmeriHealth Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,258.93 | Facility | None | $616.60 | $616.60 | $1,258.93 |
AmeriHealth Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | None | $93.33 | $93.33 | $162.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $5,011.87 | Facility | None | $562.34 | $724.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $323.59 | Professional | None | $100.00 | $112.20 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $426.58 | Facility | None | $138.04 | $234.42 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $218.78 | Professional | None | $67.61 | $138.04 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $186.21 Typical High $186.21 | Professional | None | $85.11 | $186.21 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $281.84 | Professional | None | $107.15 | $162.18 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $616.60 | Facility | None | $194.98 | $363.08 | $616.60 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | None | $181.97 | $204.17 | $204.17 |
Independence Blue Cross Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,445.44 | Facility | None | $616.60 | $776.25 | $1,445.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | None | $93.33 | $93.33 | $162.18 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $338.84 | Facility | None | $114.82 | $218.78 | $338.84 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $154.88 | Professional | None | $114.82 | $120.23 | $154.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $57.54 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.91 | $23.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $354.81 Typical High $645.65 | Facility | None | $141.25 | $354.81 | $645.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | None | $141.25 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $169.82 | Facility | None | $128.82 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $190.55 | Professional | None | $60.26 | $85.11 | $190.55 |
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 XU · Unusual separate service Typical Low $204.17 Median $426.58 Typical High $707.95 | Facility | XU · Unusual separate service | $204.17 | $426.58 | $707.95 |
Where Pennsylvania sits
The same service costs 5.1 times more in Alaska than in Alabama. 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· 33rd of 51
$120
AK $324AL $63.10
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.