How much rates vary
Facilitymedian $145 · 10th to 90th $54 to $562Professionalmedian $138 · 10th to 90th $68 to $229
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 $141.25 Median $194.98 Typical High $380.19 | Facility | None | $141.25 | $194.98 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $64.57 | Facility | 26 · Professional part | $31.62 | $47.86 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $169.82 | Facility | TC · Technical part | $91.20 | $117.49 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $89.13 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $31.62 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $91.20 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
AmeriHealth Setting Facility Modifier None Typical Low $28.84 Median $70.79 Typical High $1,862.09 | Facility | None | $28.84 | $70.79 | $1,862.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $36.31 | $46.77 |
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 $204.17 Median $263.03 Typical High $5,011.87 | Facility | TC · Technical part | $204.17 | $263.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $138.04 | $144.54 | $251.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $56.23 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $56.23 | $109.65 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $186.21 Typical High $616.60 | Facility | None | $74.13 | $186.21 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $52.48 | $87.10 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $128.82 | Professional | TC · Technical part | $30.90 | $53.70 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $104.71 | $204.17 | $204.17 |
Geisinger Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $87.10 | $147.91 | $245.47 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $47.86 | $83.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $39.81 | $104.71 | $169.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $758.58 | Facility | None | $117.49 | $363.08 | $758.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $95.50 | $138.04 | $151.36 |
Independence Blue Cross Setting Facility Modifier None Typical Low $33.11 Median $67.61 Typical High $144.54 | Facility | None | $33.11 | $67.61 | $144.54 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $380.19 | Facility | None | $141.25 | $223.87 | $380.19 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $204.17 | Facility | TC · Technical part | $91.20 | $109.65 | $204.17 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $89.13 | $120.23 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $31.62 | $48.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $91.20 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $69.18 Typical High $144.54 | Facility | None | $40.74 | $69.18 | $144.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $97.72 | $97.72 | $144.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $45.71 | $45.71 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $52.48 | $109.65 |
United Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $575.44 | Facility | None | $234.42 | $501.19 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $56.23 | $123.03 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $20.42 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $85.11 | $138.04 |
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 $58.88 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $23.99 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $60.26 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $23.99 | $28.18 |
Where Pennsylvania sits
The same service costs 5.2 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· 26th of 51
$138
AK $309AL $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.