How much rates vary
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 $10.00 Median $10.47 Typical High $35.48 | Facility | None | $10.00 | $10.47 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | None | $10.00 | $10.47 | $14.45 |
Capital Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $5,011.87 | Facility | None | $69.18 | $91.20 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $40.74 | Professional | None | $8.51 | $9.55 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $19.95 Typical High $37.15 | Facility | None | $12.02 | $19.95 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $12.88 Typical High $25.12 | Professional | None | $7.59 | $12.88 | $25.12 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $15.85 Typical High $15.85 | Professional | None | $8.51 | $15.85 | $15.85 |
Geisinger Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Geisinger Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $30.90 | Professional | None | $13.49 | $18.62 | $30.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $79.43 | Facility | None | $23.99 | $23.99 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $35.48 | Facility | None | $10.00 | $10.00 | $35.48 |
Martin's Point Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | None | $10.00 | $10.47 | $14.45 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $20.42 Typical High $30.20 | Facility | None | $19.50 | $20.42 | $30.20 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $14.79 | Facility | None | $10.96 | $12.30 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $17.78 | Professional | None | $5.13 | $7.41 | $17.78 |
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 $13.18 Median $20.42 Typical High $36.31 | Professional | QW · Waived lab test | $13.18 | $20.42 | $36.31 |
UPMC Health Plan Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | QW · Waived lab test | $12.30 | $12.30 | $12.30 |
Where Pennsylvania sits
The same service costs 3.1 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· 43rd of 51
$10.00
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.