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 $22.39 Median $26.92 Typical High $81.28 | Facility | None | $22.39 | $26.92 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $26.92 | Professional | None | $20.89 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $11.22 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $4.47 | $5.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | None | $18.62 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $44.67 Typical High $102.33 | Facility | None | $12.88 | $44.67 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $30.90 Typical High $102.33 | Professional | None | $10.96 | $30.90 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $46.77 Typical High $52.48 | Professional | None | $22.39 | $46.77 | $52.48 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $81.28 | Facility | None | $22.39 | $22.39 | $81.28 |
Martin's Point Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $26.92 | Professional | None | $21.88 | $22.39 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $11.22 | $13.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $4.47 | $5.37 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.42 Median $57.54 Typical High $109.65 | Facility | None | $20.42 | $57.54 | $109.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None | $20.42 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $21.38 | Professional | None | $8.71 | $13.80 | $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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | XU · Unusual separate service | $316.23 | $316.23 | $316.23 |
Where Pennsylvania sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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
$20.89
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.