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 $3.24 Median $3.39 Typical High $11.75 | Facility | None | $3.24 | $3.39 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.24 Typical High $3.39 | Professional | None | $3.16 | $3.24 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $1.62 Typical High $1.70 | Professional | 52 · Reduced service | $1.58 | $1.62 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.63 | $0.65 | $0.68 |
Capital Blue Cross Setting Facility Modifier None Typical Low $20.89 Median $26.92 Typical High $5,011.87 | Facility | None | $20.89 | $26.92 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.63 | Professional | None | $3.09 | $3.09 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $5.89 Typical High $12.02 | Facility | None | $2.75 | $5.89 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $4.47 Typical High $8.71 | Professional | None | $2.34 | $4.47 | $8.71 |
Emblem Health Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $5.75 | Professional | None | $1.86 | $1.86 | $5.75 |
Geisinger Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Geisinger Setting Professional Modifier None Typical Low $3.39 Median $4.07 Typical High $6.03 | Professional | None | $3.39 | $4.07 | $6.03 |
Martin's Point Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $11.75 | Facility | None | $3.24 | $3.24 | $11.75 |
Martin's Point Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.70 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.98 Median $18.62 Typical High $38.90 | Facility | None | $3.98 | $18.62 | $38.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $5.25 | Professional | None | $3.47 | $3.98 | $5.25 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $4.79 | Facility | None | $3.55 | $3.98 | $4.79 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.57 Typical High $6.46 | Professional | None | $1.78 | $2.57 | $6.46 |
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 90 · Outside lab Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 90 · Outside lab | $34.67 | $34.67 | $34.67 |
Where Pennsylvania sits
The same service costs 3.2 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· 34th of 51
$3.47
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.