How much rates vary
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 $10.47 Median $10.96 Typical High $37.15 | Facility | None | $10.47 | $10.96 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $11.75 | Professional | None | $10.00 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.25 Typical High $5.75 | Professional | 52 · Reduced service | $5.01 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.29 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $5,011.87 | Facility | None | $72.44 | $95.50 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.59 | Professional | None | $10.00 | $10.00 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $38.90 | Facility | None | $8.91 | $19.50 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $30.90 | Professional | None | $8.13 | $14.45 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $18.62 | Professional | None | $6.03 | $6.03 | $18.62 |
Geisinger Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.05 | Professional | None | $10.96 | $14.45 | $19.05 |
Martin's Point Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $43.65 | Facility | None | $10.47 | $10.47 | $43.65 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.96 | Professional | None | $10.47 | $10.47 | $10.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $5.50 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.19 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.88 Median $33.11 Typical High $69.18 | Facility | None | $12.88 | $33.11 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $18.20 | Professional | None | $11.22 | $12.88 | $18.20 |
United Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $37.15 | Facility | None | $11.48 | $15.49 | $37.15 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $22.39 | Professional | None | $5.75 | $9.33 | $22.39 |
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 Professional Modifier 90 · Outside lab Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | 90 · Outside lab | $9.55 | $9.55 | $10.47 |
Where Pennsylvania sits
The same service costs 3.1 times more in Kansas 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· 34th of 51
$11.22
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.