How much rates vary
Facilitymedian $120 · 10th to 90th $71 to $490Professionalmedian $93 · 10th to 90th $58 to $155
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 $72.44 Median $109.65 Typical High $181.97 | Facility | None | $72.44 | $109.65 | $181.97 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $45.71 | Facility | 26 · Professional part | $22.39 | $32.36 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $104.71 | Facility | TC · Technical part | $46.77 | $72.44 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $64.57 | $81.28 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $24.55 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $54.95 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $77.62 Typical High $87.10 | Professional | None (both parts) | $43.65 | $77.62 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $12.88 | $38.90 | $45.71 |
AmeriHealth Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $91.20 | $102.33 | $173.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $5,011.87 Typical High $56,234.13 | Facility | None | $199.53 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $5,011.87 | Facility | TC · Technical part | $165.96 | $213.80 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $93.33 | $125.89 | $208.93 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $42.66 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $190.55 | Facility | None | $64.57 | $102.33 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $38.90 | $66.07 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $12.30 | $22.39 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $26.92 | $43.65 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $70.79 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $64.57 | $97.72 | $162.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $29.51 | $51.29 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $67.61 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $245.47 Typical High $363.08 | Facility | None | $63.10 | $245.47 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $81.28 | $100.00 | $134.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $28.18 | $44.67 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7,762.47 Median $23,988.33 Typical High $30,902.95 | Facility | None | $7,762.47 | $23,988.33 | $30,902.95 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $87.10 | $102.33 | $173.78 |
Martin's Point Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $489.78 | Facility | None | $72.44 | $125.89 | $489.78 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $47.86 | Facility | 26 · Professional part | $22.39 | $31.62 | $47.86 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $104.71 | Facility | TC · Technical part | $46.77 | $60.26 | $104.71 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $64.57 | $79.43 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $24.55 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $53.70 | $95.50 |
UPMC Health Plan Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $194.98 | Facility | None | $70.79 | $123.03 | $194.98 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $70.79 | $70.79 | $83.18 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 26 · Professional part | $23.44 | $23.44 | $26.92 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $46.77 | $46.77 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $48.98 | $89.13 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $28.84 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $33.11 | $60.26 | $97.72 |
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 $33.88 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $13.80 | $16.22 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $34.67 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $13.80 | $16.22 |
Where Pennsylvania sits
The same service costs 5.9 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· 26th of 51
$93.33
AK $347AL $58.88
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.