How much rates vary
Facilitymedian $501 · 10th to 90th $138 to $1,175Professionalmedian $166 · 10th to 90th $105 to $288
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 $138.04 Median $295.12 Typical High $831.76 | Facility | None | $138.04 | $295.12 | $831.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $371.54 | Facility | TC · Technical part | $102.33 | $123.03 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $112.20 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $33.88 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $117.49 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $53.70 | $70.79 |
AmeriHealth Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $120.23 | $194.98 | $331.13 |
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 $281.84 Median $354.81 Typical High $5,011.87 | Facility | TC · Technical part | $281.84 | $354.81 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $165.96 | $218.78 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $60.26 | $97.72 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $691.83 | Facility | None | $131.83 | $218.78 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $67.61 | $114.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $18.20 | $37.15 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $45.71 | $87.10 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $112.20 | $263.03 | $263.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $109.65 | $177.83 | $288.40 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $44.67 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $70.79 | $134.90 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $562.34 Typical High $1,071.52 | Facility | None | $134.90 | $562.34 | $1,071.52 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $165.96 | $177.83 | $177.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $39.81 | $60.26 |
Independence Blue Cross Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $13,182.57 | Facility | None | $10,471.29 | $10,471.29 | $13,182.57 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $120.23 | $194.98 | $331.13 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $295.12 Typical High $831.76 | Facility | None | $138.04 | $295.12 | $831.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $257.04 | Facility | TC · Technical part | $102.33 | $123.03 | $257.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $109.65 | $144.54 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $33.88 | $56.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $102.33 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $691.83 Typical High $1,122.02 | Facility | None | $123.03 | $691.83 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $123.03 | $123.03 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $43.65 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $79.43 | $123.03 |
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 $91.20 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $91.20 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $38.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $125.89 | $204.17 |
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 $64.57 Median $66.07 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $26.30 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $66.07 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $66.07 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $26.30 | $31.62 |
Where Pennsylvania sits
The same service costs 7.1 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· 24th of 51
$174
AK $417AL $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.