How much rates vary
Facilitymedian $513 · 10th to 90th $174 to $1,202Professionalmedian $275 · 10th to 90th $170 to $479
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 $223.87 Median $426.58 Typical High $794.33 | Facility | None | $223.87 | $426.58 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $141.25 | Facility | 26 · Professional part | $64.57 | $93.33 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $426.58 | Facility | TC · Technical part | $158.49 | $229.09 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $218.78 | $263.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $72.44 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $181.97 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $37.15 | $114.82 | $128.82 |
AmeriHealth Setting Facility Modifier None Typical Low $147.91 Median $15,848.93 Typical High $27,542.29 | Facility | None | $147.91 | $15,848.93 | $27,542.29 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $85.11 | $107.15 |
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 $467.74 Median $602.56 Typical High $5,011.87 | Facility | TC · Technical part | $467.74 | $602.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $269.15 | $338.84 | $616.60 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $128.82 | $208.93 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $218.78 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $870.96 | Facility | None | $177.83 | $338.84 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $109.65 | $199.53 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $77.62 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $69.18 | $147.91 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $213.80 | $416.87 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $165.96 | $302.00 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $100.00 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $75.86 | $204.17 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $794.33 Typical High $1,513.56 | Facility | None | $239.88 | $794.33 | $1,513.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $257.04 | $354.81 | $562.34 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $75.86 | $81.28 | $131.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $120.23 Median $363.08 Typical High $21,877.62 | Facility | None | $120.23 | $363.08 | $21,877.62 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $89.13 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $794.33 | Facility | None | $223.87 | $512.86 | $794.33 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $144.54 | Facility | 26 · Professional part | $64.57 | $85.11 | $144.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $575.44 | Facility | TC · Technical part | $158.49 | $204.17 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $218.78 | $257.04 | $426.58 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $72.44 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $181.97 | $309.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $83.18 Median $141.25 Typical High $275.42 | Facility | None | $83.18 | $141.25 | $275.42 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $208.93 | $208.93 | $275.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $93.33 | $93.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $112.20 | $199.53 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,202.26 | Facility | None | $489.78 | $1,047.13 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $131.83 | $269.15 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $85.11 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $100.00 | $181.97 | $295.12 |
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 $109.65 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $44.67 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $112.20 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $44.67 | $52.48 |
Where Pennsylvania sits
The same service costs 4.2 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
$288
AK $575AL $138
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.