How much rates vary
Facilitymedian $32 · 10th to 90th $10 to $93Professionalmedian $10 · 10th to 90th $7 to $18
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 $10.00 Median $16.60 Typical High $85.11 | Facility | None | $10.00 | $16.60 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $10.96 | Professional | None | $9.55 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.01 Typical High $5.50 | Professional | 52 · Reduced service | $4.90 | $5.01 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.24 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.24 |
AmeriHealth Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $416.87 | Facility | None | $24.55 | $69.18 | $416.87 |
Capital Blue Cross Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $5,011.87 | Facility | None | $70.79 | $91.20 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.30 | Professional | None | $9.55 | $9.55 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $18.62 Typical High $37.15 | Facility | None | $8.71 | $18.62 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $30.20 | Professional | None | $7.76 | $14.13 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $17.78 | Professional | None | $5.75 | $5.75 | $17.78 |
Geisinger Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Geisinger Setting Professional Modifier None Typical Low $10.47 Median $13.80 Typical High $18.62 | Professional | None | $10.47 | $13.80 | $18.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $81.28 | Facility | None | $17.38 | $31.62 | $81.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.33 | Professional | None | $7.41 | $7.41 | $9.33 |
Independence Blue Cross Setting Facility Modifier None Typical Low $17.38 Median $61.66 Typical High $141.25 | Facility | None | $17.38 | $61.66 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $10.00 Median $19.05 Typical High $85.11 | Facility | None | $10.00 | $19.05 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.96 | Professional | None | $10.00 | $10.00 | $10.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.09 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.30 Median $46.77 Typical High $97.72 | Facility | None | $12.30 | $46.77 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $17.78 | Professional | None | $10.96 | $12.30 | $17.78 |
United Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $14.79 | Facility | None | $11.22 | $12.30 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $21.38 | Professional | None | $5.25 | $8.13 | $21.38 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | 90 · Outside lab | $12.30 | $12.30 | $12.30 |
Where Pennsylvania sits
The same service costs 8.5 times more in Vermont 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· 16th of 51
$14.45
VT $79.43MD $9.33
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.