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 $9.77 Median $10.23 Typical High $109.65 | Facility | None | $9.77 | $10.23 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $23.44 | Professional | None | $9.55 | $9.77 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.90 Typical High $5.75 | Professional | 52 · Reduced service | $4.79 | $4.90 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.29 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $5,011.87 | Facility | None | $46.77 | $61.66 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $18.62 Median $29.51 Typical High $32.36 | Professional | None | $18.62 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $47.86 Typical High $75.86 | Facility | None | $8.51 | $47.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $46.77 | Professional | None | $17.38 | $17.78 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $17.78 Typical High $54.95 | Professional | None | $7.24 | $17.78 | $54.95 |
Geisinger Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Geisinger Setting Professional Modifier None Typical Low $9.12 Median $26.30 Typical High $67.61 | Professional | None | $9.12 | $26.30 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $72.44 Typical High $177.83 | Facility | None | $19.05 | $72.44 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $109.65 | Facility | None | $9.77 | $10.23 | $109.65 |
Martin's Point Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | None | $9.77 | $9.77 | $10.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.18 Median $56.23 Typical High $93.33 | Facility | None | $13.18 | $56.23 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.18 Median $33.11 Typical High $38.02 | Professional | None | $13.18 | $33.11 | $38.02 |
United Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $45.71 | Facility | None | $33.88 | $38.02 | $45.71 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $33.88 | Professional | None | $5.01 | $9.12 | $33.88 |
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 Professional Modifier 90 · Outside lab Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 90 · Outside lab | $30.90 | $30.90 | $30.90 |
Where Pennsylvania sits
The same service costs 10.0 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· 43rd of 51
$13.80
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.