How much rates vary
Facilitymedian $148 · 10th to 90th $71 to $550Professionalmedian $145 · 10th to 90th $100 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 $112.20 Median $128.82 Typical High $363.08 | Facility | None | $112.20 | $128.82 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $109.65 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $46.77 | $56.23 |
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 $549.54 Median $691.83 Typical High $5,011.87 | Facility | TC · Technical part | $549.54 | $691.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $141.25 | $144.54 | $338.84 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $83.18 | $199.53 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $61.66 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $446.68 | Facility | None | $58.88 | $85.11 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $67.61 | $138.04 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $75.86 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $57.54 Typical High $245.47 | Professional | TC · Technical part | $28.18 | $57.54 | $245.47 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $588.84 | Professional | None (both parts) | $147.91 | $234.42 | $588.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $107.15 | $194.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $416.87 | Professional | TC · Technical part | $63.10 | $102.33 | $416.87 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $363.08 | Facility | None | $128.82 | $128.82 | $363.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $109.65 | $112.20 | $128.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $66.07 | $72.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $46.77 | $56.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $251.19 | Facility | None | $102.33 | $147.91 | $251.19 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $138.04 | $154.88 | $154.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | TC · Technical part | $54.95 | $54.95 | $57.54 |
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 $81.28 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $81.28 | $134.90 | $245.47 |
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 $30.20 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $30.20 | $52.48 | $102.33 |
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 $54.95 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $22.39 | $25.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $56.23 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $22.39 | $25.70 |
Where Pennsylvania sits
The same service costs 7.6 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· 34th of 51
$145
AK $457AL $60.26
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.