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 $38.90 Median $40.74 Typical High $141.25 | Facility | None | $38.90 | $40.74 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $40.74 | Professional | None | $38.02 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.50 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.76 | $8.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $5,011.87 | Facility | None | $199.53 | $257.04 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $114.82 | Professional | None | $33.88 | $38.02 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $79.43 Typical High $144.54 | Facility | None | $46.77 | $79.43 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $44.67 Typical High $74.13 | Professional | None | $22.39 | $44.67 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $63.10 Typical High $63.10 | Professional | None | $33.88 | $63.10 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Geisinger Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $107.15 | Professional | None | $38.90 | $57.54 | $107.15 |
Martin's Point Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $165.96 | Facility | None | $38.90 | $38.90 | $165.96 |
Martin's Point Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $40.74 | Professional | None | $38.02 | $38.90 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.76 | $8.13 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $269.15 | Facility | None | $47.86 | $128.82 | $269.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $57.54 | Facility | None | $43.65 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $60.26 | Professional | None | $20.42 | $28.84 | $60.26 |
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 90 · Outside lab Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 90 · Outside lab | $416.87 | $416.87 | $416.87 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 37th of 51
$38.90
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.