How much rates vary
Facilitymedian $59 · 10th to 90th $28 to $257Professionalmedian $28 · 10th to 90th $21 to $62
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 $28.18 Median $29.51 Typical High $102.33 | Facility | None | $28.18 | $29.51 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $29.51 | Professional | None | $27.54 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $13.80 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $6.03 | Professional | 53 · Discontinued | $5.50 | $5.62 | $6.03 |
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 $24.55 Median $27.54 Typical High $114.82 | Professional | None | $24.55 | $27.54 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $104.71 | Facility | None | $33.88 | $57.54 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $39.81 Typical High $72.44 | Professional | None | $21.88 | $39.81 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $45.71 Typical High $45.71 | Professional | None | $20.89 | $45.71 | $45.71 |
Geisinger Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Geisinger Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $89.13 | Professional | None | $37.15 | $52.48 | $89.13 |
Martin's Point Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $120.23 | Facility | None | $28.18 | $28.18 | $120.23 |
Martin's Point Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | None | $28.18 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.03 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.03 |
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 $35.48 Median $128.82 Typical High $269.15 | Facility | None | $35.48 | $128.82 | $269.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $54.95 | Professional | None | $14.79 | $20.89 | $54.95 |
2 more rates 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 59 · Distinct service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 59 · Distinct service | $17.38 | $17.38 | $17.38 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | XU · Unusual separate service | $46.77 | $46.77 | $46.77 |
Where Pennsylvania sits
The same service costs 3.2 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· 36th of 51
$29.51
AK $79.43DE $25.12
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.