How much rates vary
Facilitymedian $45 · 10th to 90th $16 to $112Professionalmedian $16 · 10th to 90th $10 to $26
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 $15.14 Median $28.84 Typical High $66.07 | Facility | None | $15.14 | $28.84 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $19.95 | Professional | None | $14.79 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.59 Typical High $8.51 | Professional | 52 · Reduced service | $7.41 | $7.59 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.02 Typical High $3.39 | Professional | 53 · Discontinued | $2.95 | $3.02 | $3.39 |
AmeriHealth Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $218.78 | Facility | None | $24.55 | $69.18 | $218.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $5,011.87 | Facility | None | $100.00 | $128.82 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $56.23 | Facility | None | $13.18 | $28.84 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $45.71 | Professional | None | $11.75 | $20.89 | $45.71 |
Emblem Health Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $26.92 | Professional | None | $8.91 | $8.91 | $26.92 |
Geisinger Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Geisinger Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $28.18 | Professional | None | $15.85 | $19.50 | $28.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $29.51 Median $47.86 Typical High $97.72 | Facility | None | $29.51 | $47.86 | $97.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $15.85 | Professional | None | $11.22 | $14.13 | $15.85 |
Independence Blue Cross Setting Facility Modifier None Typical Low $24.55 Median $61.66 Typical High $141.25 | Facility | None | $24.55 | $61.66 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $83.18 | Facility | None | $15.14 | $35.48 | $83.18 |
Martin's Point Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.94 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.16 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.62 Median $51.29 Typical High $107.15 | Facility | None | $18.62 | $51.29 | $107.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $24.55 | Professional | None | $16.60 | $18.62 | $24.55 |
United Setting Facility Modifier None Typical Low $16.98 Median $18.62 Typical High $22.39 | Facility | None | $16.98 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $30.20 | Professional | None | $8.51 | $12.59 | $30.20 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 90 · Outside lab | $18.62 | $18.62 | $18.62 |
Where Pennsylvania sits
The same service costs 10.0 times more in Vermont than in Maryland. 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· 15th of 51
$22.39
VT $141MD $14.13
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.