How much rates vary
Facilitymedian $30 · 10th to 90th $14 to $98Professionalmedian $14 · 10th to 90th $8 to $19
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 $14.13 Median $25.12 Typical High $128.82 | Facility | None | $14.13 | $25.12 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.79 | Professional | None | $12.02 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $6.76 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.69 | $2.82 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $17.38 | Professional | None | $8.71 | $10.47 | $17.38 |
AmeriHealth Setting Facility Modifier None Typical Low $10.96 Median $26.92 Typical High $416.87 | Facility | None | $10.96 | $26.92 | $416.87 |
Capital Blue Cross Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $5,011.87 | Facility | None | $67.61 | $87.10 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | None | $13.49 | $13.49 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $22.39 Typical High $39.81 | Facility | None | $11.48 | $22.39 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $21.38 | Professional | None | $7.94 | $8.13 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $25.12 | Professional | None | $8.13 | $8.13 | $25.12 |
Geisinger Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $30.90 | Professional | None | $12.02 | $14.13 | $30.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $83.18 | Facility | None | $20.89 | $42.66 | $83.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $14.13 | Professional | None | $10.47 | $12.88 | $14.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $12.30 Median $25.12 Typical High $524.81 | Facility | None | $12.30 | $25.12 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $14.13 Median $32.36 Typical High $173.78 | Facility | None | $14.13 | $32.36 | $173.78 |
Martin's Point Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.79 | Professional | None | $12.59 | $14.13 | $14.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.41 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.38 Median $42.66 Typical High $79.43 | Facility | None | $17.38 | $42.66 | $79.43 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $19.05 | Professional | None | $15.14 | $17.38 | $19.05 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $20.89 | Facility | None | $15.49 | $17.38 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $25.70 | Professional | None | $7.24 | $10.47 | $25.70 |
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 $8.32 Median $25.12 Typical High $79.43 | Facility | PN · Off-campus dept, non-excepted | $8.32 | $25.12 | $79.43 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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· 22nd of 51
$17.38
AK $47.86NJ $12.02
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.