How much rates vary
Facilitymedian $68 · 10th to 90th $51 to $229Professionalmedian $51 · 10th to 90th $32 to $74
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 $51.29 Median $56.23 Typical High $229.09 | Facility | None | $51.29 | $56.23 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None | $51.29 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
AmeriHealth Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $549.54 | Facility | None | $117.49 | $117.49 | $549.54 |
AmeriHealth Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $89.13 | Professional | None | $43.65 | $51.29 | $89.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $47.86 Median $51.29 Typical High $4,265.80 | Facility | None | $47.86 | $51.29 | $4,265.80 |
Capital Blue Cross Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | None | $32.36 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $154.88 | Facility | None | $50.12 | $77.62 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $83.18 | Professional | None | $26.30 | $47.86 | $83.18 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $67.61 Typical High $67.61 | Professional | None | $30.20 | $67.61 | $67.61 |
Geisinger Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Geisinger Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $100.00 | Professional | None | $38.90 | $57.54 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $120.23 Typical High $245.47 | Facility | None | $63.10 | $120.23 | $245.47 |
Highmark BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
Independence Blue Cross Setting Facility Modifier None Typical Low $11.48 Median $66.07 Typical High $549.54 | Facility | None | $11.48 | $66.07 | $549.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $93.33 | Professional | None | $51.29 | $51.29 | $93.33 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $234.42 | Facility | None | $51.29 | $56.23 | $234.42 |
Martin's Point Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None | $51.29 | $51.29 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $109.65 | Professional | None | $50.12 | $51.29 | $109.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $125.89 | Facility | None | $51.29 | $66.07 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $64.57 | Professional | None | $30.90 | $51.29 | $64.57 |
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 |
|---|---|---|---|---|---|
Geisinger Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $85.11 Typical High $128.82 | Professional | QW · Waived lab test | $51.29 | $85.11 | $128.82 |
Where Pennsylvania sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 27th of 51
$51.29
MN $105NM $47.86
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.