How much rates vary
Facilitymedian $10 · 10th to 90th $4 to $29Professionalmedian $4 · 10th to 90th $3 to $6
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 $3.47 Median $6.61 Typical High $25.12 | Facility | None | $3.47 | $6.61 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $6.03 | Professional | None | $3.39 | $3.63 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.74 Typical High $1.82 | Professional | 52 · Reduced service | $1.70 | $1.74 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.72 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.72 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $4.27 | Professional | None | $2.57 | $4.27 | $4.27 |
AmeriHealth Setting Facility Modifier None Typical Low $7.94 Median $18.62 Typical High $1,479.11 | Facility | None | $7.94 | $18.62 | $1,479.11 |
AmeriHealth Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | None | $2.82 | $2.82 | $2.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $5,011.87 | Facility | None | $22.39 | $28.84 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $8.91 | Professional | None | $3.39 | $3.39 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.31 Typical High $12.88 | Facility | None | $3.02 | $6.31 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.17 Typical High $8.13 | Professional | None | $2.45 | $4.17 | $8.13 |
Emblem Health Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $6.17 | Professional | None | $2.04 | $2.04 | $6.17 |
Geisinger Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Geisinger Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $6.46 | Professional | None | $3.63 | $4.37 | $6.46 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.17 Median $12.02 Typical High $22.91 | Facility | None | $6.17 | $12.02 | $22.91 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $7.08 | Professional | None | $2.82 | $3.55 | $7.08 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7.59 Median $32.36 Typical High $1,412.54 | Facility | None | $7.59 | $32.36 | $1,412.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | None | $2.82 | $2.82 | $2.88 |
Martin's Point Setting Facility Modifier None Typical Low $3.47 Median $7.24 Typical High $38.90 | Facility | None | $3.47 | $7.24 | $38.90 |
Martin's Point Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $6.03 | Professional | None | $3.47 | $3.63 | $6.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.82 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.72 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.72 |
Oscar Health Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.41 Median $10.47 Typical High $14.79 | Facility | None | $7.41 | $10.47 | $14.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
United Setting Facility Modifier None Typical Low $1.26 Median $4.27 Typical High $10.47 | Facility | None | $1.26 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $6.92 | Professional | None | $2.57 | $4.27 | $6.92 |
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 PN · Off-campus dept, non-excepted Typical Low $3.55 Median $10.96 Typical High $23.99 | Facility | PN · Off-campus dept, non-excepted | $3.55 | $10.96 | $23.99 |
Where Pennsylvania sits
The same service costs 14.8 times more in Minnesota 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· 21st of 51
$5.13
MN $51.29MD $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.