How much rates vary
Facilitymedian $151 · 10th to 90th $93 to $295Professionalmedian $155 · 10th to 90th $74 to $251
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 $120.23 Median $134.90 Typical High $223.87 | Facility | None | $120.23 | $134.90 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $112.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $30.20 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $85.11 | $102.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $5,011.87 | Facility | TC · Technical part | $239.88 | $309.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $154.88 | $162.18 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $38.02 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $123.03 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $295.12 | Facility | None | $97.72 | $173.78 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $57.54 | $95.50 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $17.78 | $36.31 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $138.04 | Professional | TC · Technical part | $36.31 | $60.26 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $95.50 | $223.87 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $89.13 | $162.18 | $269.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $46.77 | $87.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $45.71 | $114.82 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $117.49 Typical High $295.12 | Facility | None | $112.20 | $117.49 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $223.87 | Facility | None | $120.23 | $134.90 | $223.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $112.20 | $114.82 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $30.20 | $34.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $85.11 | $102.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $138.04 Typical High $158.49 | Facility | None | $93.33 | $138.04 | $158.49 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $93.33 | $93.33 | $151.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $37.15 | $41.69 | $41.69 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $51.29 | $114.82 |
United Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $177.83 | Facility | None | $72.44 | $151.36 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $74.13 | $131.83 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $93.33 | $151.36 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.91 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $57.54 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.91 | $26.92 |
Where Pennsylvania sits
The same service costs 5.8 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· 22nd of 51
$155
AK $331AL $57.54
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.