How much rates vary
Facilitymedian $66 · 10th to 90th $33 to $240Professionalmedian $33 · 10th to 90th $23 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 $33.11 Median $38.02 Typical High $91.20 | Facility | None | $33.11 | $38.02 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $40.74 | Professional | None | $32.36 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $6.46 | $6.61 | $6.92 |
AmeriHealth Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $676.08 | Facility | None | $147.91 | $147.91 | $676.08 |
AmeriHealth Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $5,011.87 | Facility | None | $186.21 | $239.88 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $114.82 | Professional | None | $28.84 | $31.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $123.03 | Facility | None | $39.81 | $66.07 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $72.44 | Professional | None | $21.38 | $41.69 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $53.70 | Professional | None | $28.18 | $53.70 | $53.70 |
Geisinger Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Geisinger Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $102.33 | Professional | None | $38.02 | $54.95 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $169.82 | Facility | None | $67.61 | $72.44 | $169.82 |
Independence Blue Cross Setting Facility Modifier None Typical Low $28.18 Median $75.86 Typical High $676.08 | Facility | None | $28.18 | $75.86 | $676.08 |
Independence Blue Cross Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $100.00 | Facility | None | $33.11 | $34.67 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $44.67 | Professional | None | $33.11 | $34.67 | $44.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $16.60 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $6.46 | $6.61 | $6.92 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $87.10 | Professional | None | $39.81 | $43.65 | $87.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $251.19 | Facility | None | $40.74 | $114.82 | $251.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $52.48 | Professional | None | $40.74 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $48.98 | Facility | None | $36.31 | $40.74 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $54.95 | Professional | None | $16.98 | $24.55 | $54.95 |
3 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 $20.42 Median $20.42 Typical High $20.42 | Professional | 59 · Distinct service | $20.42 | $20.42 | $20.42 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $19.95 Median $66.07 Typical High $147.91 | Facility | XU · Unusual separate service | $19.95 | $66.07 | $147.91 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $57.54 | $57.54 | $57.54 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 39th of 51
$34.67
AK $91.20FL $26.30
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.