How much rates vary
Facilitymedian $50 · 10th to 90th $26 to $170Professionalmedian $27 · 10th to 90th $15 to $40
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 $26.30 Median $27.54 Typical High $95.50 | Facility | None | $26.30 | $27.54 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $33.11 | Professional | None | $23.99 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.18 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.18 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.37 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
AmeriHealth Setting Facility Modifier None Typical Low $22.39 Median $54.95 Typical High $416.87 | Facility | None | $22.39 | $54.95 | $416.87 |
AmeriHealth Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $5,011.87 | Facility | None | $128.82 | $165.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | None | $25.70 | $25.70 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $47.86 Typical High $97.72 | Facility | None | $22.91 | $47.86 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $30.90 Typical High $57.54 | Professional | None | $14.45 | $30.90 | $57.54 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $47.86 | Professional | None | $15.49 | $15.49 | $47.86 |
Geisinger Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Geisinger Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $58.88 | Professional | None | $24.55 | $33.11 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $28.84 Median $79.43 Typical High $162.18 | Facility | None | $28.84 | $79.43 | $162.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $109.65 | Facility | None | $33.11 | $48.98 | $109.65 |
Independence Blue Cross Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $95.50 | Facility | None | $26.30 | $27.54 | $95.50 |
Martin's Point Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $33.11 | Professional | None | $26.30 | $27.54 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.62 |
Oscar Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $234.42 | Facility | None | $36.31 | $114.82 | $234.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $38.90 | Facility | None | $29.51 | $33.11 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $48.98 | Professional | None | $13.80 | $19.50 | $48.98 |
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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Professional Modifier QW · Waived lab test Typical Low $28.84 Median $33.11 Typical High $36.31 | Professional | QW · Waived lab test | $28.84 | $33.11 | $36.31 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 21st of 51
$31.62
AK $74.13KY $19.50
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.