How much rates vary
Facilitymedian $123 · 10th to 90th $56 to $437Professionalmedian $56 · 10th to 90th $42 to $110
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 $56.23 Median $60.26 Typical High $239.88 | Facility | None | $56.23 | $60.26 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $83.18 | Professional | None | $56.23 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $11.48 | $12.02 |
AmeriHealth Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
AmeriHealth Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $173.78 | Professional | None | $45.71 | $70.79 | $173.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $5,011.87 | Facility | None | $338.84 | $436.52 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $208.93 | Professional | None | $48.98 | $54.95 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $213.80 | Facility | None | $69.18 | $114.82 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $128.82 | Professional | None | $37.15 | $74.13 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $91.20 | Professional | None | $48.98 | $91.20 | $91.20 |
Geisinger Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Geisinger Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $154.88 | Professional | None | $64.57 | $93.33 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $354.81 | Facility | None | $100.00 | $275.42 | $354.81 |
Independence Blue Cross Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $602.56 | Facility | None | $93.33 | $162.18 | $602.56 |
Independence Blue Cross Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $173.78 | Professional | None | $45.71 | $70.79 | $173.78 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $239.88 | Facility | None | $56.23 | $56.23 | $239.88 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None | $56.23 | $60.26 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | 52 · Reduced service | $28.18 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $380.19 | Facility | None | $95.50 | $190.55 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $63.10 Median $70.79 Typical High $85.11 | Facility | None | $63.10 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $93.33 | Professional | None | $29.51 | $41.69 | $93.33 |
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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier QW · Waived lab test Typical Low $77.62 Median $117.49 Typical High $177.83 | Professional | QW · Waived lab test | $77.62 | $117.49 | $177.83 |
UPMC Health Plan Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | QW · Waived lab test | $70.79 | $70.79 | $70.79 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in Alabama. 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
$60.26
AK $158AL $39.81
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.