How much rates vary
Facilitymedian $32 · 10th to 90th $10 to $81Professionalmedian $10 · 10th to 90th $6 to $16
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 $9.33 Median $19.50 Typical High $74.13 | Facility | None | $9.33 | $19.50 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $12.59 | Professional | None | $9.12 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.68 Typical High $4.90 | Professional | 52 · Reduced service | $4.57 | $4.68 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $1.95 | Professional | 53 · Discontinued | $1.82 | $1.86 | $1.95 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
AmeriHealth Setting Facility Modifier None Typical Low $19.05 Median $46.77 Typical High $6,025.60 | Facility | None | $19.05 | $46.77 | $6,025.60 |
Capital Blue Cross Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $5,011.87 | Facility | None | $63.10 | $81.28 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.96 | Professional | None | $8.91 | $8.91 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.38 Typical High $34.67 | Facility | None | $8.13 | $17.38 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $23.44 | Professional | None | $7.08 | $11.75 | $23.44 |
Emblem Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $16.60 | Professional | None | $5.37 | $5.37 | $16.60 |
Geisinger Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Geisinger Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $17.38 | Professional | None | $9.77 | $12.30 | $17.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $30.20 Typical High $70.79 | Facility | None | $16.60 | $30.20 | $70.79 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $9.77 | Professional | None | $6.92 | $7.59 | $9.77 |
Independence Blue Cross Setting Facility Modifier None Typical Low $16.22 Median $41.69 Typical High $6,025.60 | Facility | None | $16.22 | $41.69 | $6,025.60 |
Martin's Point Setting Facility Modifier None Typical Low $9.33 Median $26.30 Typical High $79.43 | Facility | None | $9.33 | $26.30 | $79.43 |
Martin's Point Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | None | $9.33 | $9.77 | $12.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $4.90 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.95 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $58.88 Typical High $102.33 | Facility | None | $25.12 | $58.88 | $102.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $13.80 | Facility | None | $10.47 | $11.48 | $13.80 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $19.50 | Professional | None | $5.25 | $7.94 | $19.50 |
2 more rates 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 59 · Distinct service Typical Low $5.75 Median $23.99 Typical High $40.74 | Facility | 59 · Distinct service | $5.75 | $23.99 | $40.74 |
UPMC Health Plan Setting Professional Modifier QW · Waived lab test Typical Low $10.23 Median $11.48 Typical High $16.60 | Professional | QW · Waived lab test | $10.23 | $11.48 | $16.60 |
Where Pennsylvania sits
The same service costs 5.2 times more in Minnesota 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· 14th of 51
$14.45
MN $45.71MD $8.71
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.