How much rates vary
Facilitymedian $68 · 10th to 90th $24 to $170Professionalmedian $24 · 10th to 90th $17 to $42
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 $22.39 Median $42.66 Typical High $104.71 | Facility | None | $22.39 | $42.66 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $38.90 | Professional | None | $21.88 | $23.99 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $12.59 | Professional | 52 · Reduced service | $10.96 | $11.22 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.57 Typical High $5.01 | Professional | 53 · Discontinued | $4.37 | $4.57 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $28.18 | Professional | None | $16.60 | $28.18 | $28.18 |
AmeriHealth Setting Facility Modifier None Typical Low $46.77 Median $131.83 Typical High $1,737.80 | Facility | None | $46.77 | $131.83 | $1,737.80 |
AmeriHealth Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $5,011.87 | Facility | None | $158.49 | $208.93 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | None | $21.88 | $21.88 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $83.18 | Facility | None | $19.50 | $42.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $67.61 | Professional | None | $17.38 | $31.62 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $40.74 | Professional | None | $13.18 | $13.18 | $40.74 |
Geisinger Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Geisinger Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $41.69 | Professional | None | $23.99 | $30.90 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $147.91 | Facility | None | $38.90 | $77.62 | $147.91 |
Highmark BCBS Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $46.77 | Professional | None | $16.60 | $20.89 | $46.77 |
Independence Blue Cross Setting Facility Modifier None Typical Low $38.90 Median $117.49 Typical High $245.47 | Facility | None | $38.90 | $117.49 | $245.47 |
Independence Blue Cross Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $47.86 Typical High $141.25 | Facility | None | $22.39 | $47.86 | $141.25 |
Martin's Point Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $38.90 | Professional | None | $22.39 | $23.99 | $38.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.79 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $85.11 Typical High $177.83 | Facility | None | $28.18 | $85.11 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $39.81 | Professional | None | $24.55 | $28.18 | $39.81 |
United Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $89.13 | Facility | None | $25.12 | $33.88 | $89.13 |
United Setting Professional Modifier None Typical Low $12.59 Median $20.42 Typical High $48.98 | Professional | None | $12.59 | $20.42 | $48.98 |
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 PN · Off-campus dept, non-excepted Typical Low $13.49 Median $60.26 Typical High $169.82 | Facility | PN · Off-campus dept, non-excepted | $13.49 | $60.26 | $169.82 |
Where Pennsylvania sits
The same service costs 7.8 times more in Vermont 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· 15th of 51
$35.48
VT $145AL $18.62
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.