How much rates vary
Facilitymedian $589 · 10th to 90th $324 to $3,890Professionalmedian $468 · 10th to 90th $251 to $794
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 $426.58 Median $549.54 Typical High $1,096.48 | Facility | None | $426.58 | $549.54 | $1,096.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $1,047.13 | Facility | TC · Technical part | $295.12 | $398.11 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $346.74 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $61.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $288.40 | $354.81 | $630.96 |
AmeriHealth Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $5,754.40 | Facility | None | $234.42 | $588.84 | $5,754.40 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $79.43 | $100.00 |
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 $1,995.26 Median $2,511.89 Typical High $5,011.87 | Facility | TC · Technical part | $1,995.26 | $2,511.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $457.09 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $457.09 | $489.78 | $812.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $120.23 | $190.55 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $676.08 | Professional | TC · Technical part | $338.84 | $416.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,995.26 | Facility | None | $398.11 | $660.69 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $223.87 | $407.38 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $72.44 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $338.84 | $588.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $309.03 | $724.44 | $724.44 |
Geisinger Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $354.81 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $575.44 | $1,071.52 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $93.33 | $169.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $891.25 | Professional | TC · Technical part | $275.42 | $489.78 | $891.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $3,890.45 | Facility | None | $407.38 | $1,288.25 | $3,890.45 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $107.15 | $125.89 |
Independence Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $7,585.78 | Facility | None | $380.19 | $588.84 | $7,585.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $79.43 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,445.44 | Facility | None | $426.58 | $676.08 | $1,445.44 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $1,230.27 | Facility | TC · Technical part | $295.12 | $354.81 | $1,230.27 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $354.81 | $426.58 | $691.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $61.66 | $85.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $295.12 | $354.81 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $489.78 | Facility | None | $275.42 | $398.11 | $489.78 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $316.23 | $316.23 | $446.68 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $74.13 | $97.72 | $97.72 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $218.78 | $371.54 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,096.48 | $2,344.23 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $204.17 | $371.54 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $77.62 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $302.00 | $562.34 |
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 $173.78 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $70.79 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $177.83 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $70.79 | $85.11 |
Where Pennsylvania sits
The same service costs 11.5 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· 31st of 51
$479
AK $1,778AL $155
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.