How much rates vary
Facilitymedian $141 · 10th to 90th $66 to $501Professionalmedian $141 · 10th to 90th $85 to $200
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 $141.25 Median $263.03 Typical High $630.96 | Facility | None | $141.25 | $263.03 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None | $141.25 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
AmeriHealth Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $851.14 | Facility | None | $117.49 | $117.49 | $851.14 |
AmeriHealth Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $257.04 | Professional | None | $141.25 | $141.25 | $257.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $4,265.80 | Facility | None | $117.49 | $141.25 | $4,265.80 |
Capital Blue Cross Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | None | $89.13 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $323.59 | Facility | None | $138.04 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $234.42 | Professional | None | $74.13 | $131.83 | $234.42 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $186.21 Typical High $186.21 | Professional | None | $100.00 | $186.21 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $281.84 | Professional | None | $107.15 | $162.18 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $630.96 | Facility | None | $281.84 | $380.19 | $630.96 |
Independence Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $61.66 Typical High $204.17 | Facility | None | $29.51 | $61.66 | $204.17 |
Independence Blue Cross Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $257.04 | Professional | None | $141.25 | $141.25 | $257.04 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $724.44 | Facility | None | $141.25 | $275.42 | $724.44 |
Martin's Point Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None | $141.25 | $141.25 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $354.81 | Facility | None | $138.04 | $173.78 | $354.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $169.82 | Facility | None | $128.82 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $169.82 | Professional | None | $60.26 | $85.11 | $169.82 |
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 $107.15 Median $162.18 Typical High $281.84 | Professional | QW · Waived lab test | $107.15 | $162.18 | $281.84 |
Where Pennsylvania sits
The same service costs 4.3 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· 19th of 51
$141
AK $295AL $69.18
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.