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 $9.12 Median $13.80 Typical High $29.51 | Facility | None | $9.12 | $13.80 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $10.00 | Professional | None | $8.71 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.47 Typical High $5.01 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.82 Typical High $2.00 | Professional | 53 · Discontinued | $1.78 | $1.82 | $2.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $5,011.87 | Facility | None | $64.57 | $83.18 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.96 | Professional | None | $8.71 | $8.71 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $33.88 | Facility | None | $7.76 | $16.98 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.59 Typical High $26.92 | Professional | None | $6.92 | $12.59 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $16.22 | Professional | None | $5.25 | $5.25 | $16.22 |
Geisinger Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Geisinger Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $16.60 | Professional | None | $9.55 | $12.59 | $16.60 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $63.10 | Facility | None | $12.88 | $29.51 | $63.10 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $8.32 | Professional | None | $6.76 | $7.59 | $8.32 |
Martin's Point Setting Facility Modifier None Typical Low $9.12 Median $9.55 Typical High $32.36 | Facility | None | $9.12 | $9.55 | $32.36 |
Martin's Point Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.77 | Professional | None | $9.12 | $9.12 | $9.77 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $4.79 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.91 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.22 Median $36.31 Typical High $75.86 | Facility | None | $11.22 | $36.31 | $75.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $15.85 | Professional | None | $9.77 | $11.22 | $15.85 |
United Setting Facility Modifier None Typical Low $10.00 Median $11.22 Typical High $13.49 | Facility | None | $10.00 | $11.22 | $13.49 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.13 Typical High $19.50 | Professional | None | $5.01 | $8.13 | $19.50 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | 90 · Outside lab | $5.62 | $5.62 | $5.62 |
Where Pennsylvania sits
The same service costs 3.5 times more in Kansas than in Kentucky. 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
$10.00
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.