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 $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $13.49 Typical High $13.49 | Professional | None (both parts) | $0.02 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None (both parts) | $6.17 | $6.17 | $6.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $5,011.87 | Facility | None | $85.11 | $109.65 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | None (both parts) | $15.49 | $15.49 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $48.98 Typical High $125.89 | Facility | None | $9.55 | $48.98 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.12 Median $23.99 Typical High $54.95 | Professional | None (both parts) | $9.12 | $23.99 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $29.51 | Professional | None (both parts) | $16.60 | $16.60 | $29.51 |
Geisinger Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $46.77 | Facility | None | $32.36 | $32.36 | $46.77 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | None (both parts) | $15.49 | $15.49 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $19.50 | Facility | None | $7.94 | $7.94 | $19.50 |
Martin's Point Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None (both parts) | $13.49 | $13.49 | $13.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.88 Median $87.10 Typical High $123.03 | Facility | None | $33.88 | $87.10 | $123.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $21.88 Typical High $46.77 | Professional | None (both parts) | $9.77 | $21.88 | $46.77 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $16.98 Typical High $22.39 | Professional | TC · Technical part | $12.59 | $16.98 | $22.39 |
Where Pennsylvania sits
The same service costs 11.5 times more in Alaska than in Ohio. 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· 18th of 51
$25.70
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.