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 $13.80 Median $14.45 Typical High $48.98 | Facility | None | $13.80 | $14.45 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $14.45 | Professional | None | $12.88 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.61 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.63 | $2.75 | $2.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $5,011.87 | Facility | None | $77.62 | $100.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | None | $13.18 | $13.18 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $24.55 Typical High $51.29 | Facility | None | $11.75 | $24.55 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $36.31 | Professional | None | $8.91 | $19.05 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $24.55 | Professional | None | $7.94 | $7.94 | $24.55 |
Geisinger Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Geisinger Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $30.20 | Professional | None | $14.45 | $16.98 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $83.18 | Facility | None | $22.91 | $37.15 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $13.80 Median $14.45 Typical High $48.98 | Facility | None | $13.80 | $14.45 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $14.45 | Professional | None | $13.49 | $13.80 | $14.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $38.90 Typical High $74.13 | Facility | None | $16.98 | $38.90 | $74.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | None | $14.79 | $16.98 | $18.20 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.42 | Facility | None | $15.14 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $25.12 | Professional | None | $7.08 | $10.72 | $25.12 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 90 · Outside lab | $8.51 | $8.51 | $8.51 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 33rd of 51
$14.79
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.