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 $5.89 Median $6.17 Typical High $20.89 | Facility | None | $5.89 | $6.17 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | None | $5.75 | $5.89 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.95 Typical High $3.39 | Professional | 52 · Reduced service | $2.88 | $2.95 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.17 Typical High $1.35 | Professional | 53 · Discontinued | $1.15 | $1.17 | $1.35 |
Capital Blue Cross Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $5,011.87 | Facility | None | $42.66 | $54.95 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $7.41 | Professional | None | $5.62 | $5.62 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.96 Typical High $21.88 | Facility | None | $5.01 | $10.96 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $18.20 | Professional | None | $4.68 | $7.94 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $10.47 | Professional | None | $3.39 | $3.39 | $10.47 |
Geisinger Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Geisinger Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $10.96 | Professional | None | $6.17 | $8.32 | $10.96 |
Martin's Point Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $24.55 | Facility | None | $5.89 | $5.89 | $24.55 |
Martin's Point Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | None | $5.89 | $5.89 | $6.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.09 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.23 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.24 Median $34.67 Typical High $72.44 | Facility | None | $7.24 | $34.67 | $72.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $10.72 | Professional | None | $6.31 | $7.24 | $10.72 |
United Setting Facility Modifier None Typical Low $6.46 Median $8.71 Typical High $22.39 | Facility | None | $6.46 | $8.71 | $22.39 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $15.14 | Professional | None | $3.24 | $5.37 | $15.14 |
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 $33.88 Median $33.88 Typical High $33.88 | Facility | 90 · Outside lab | $33.88 | $33.88 | $33.88 |
Where Pennsylvania sits
The same service costs 4.4 times more in Kansas than in Nebraska. 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· 35th of 51
$6.76
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.