How much rates vary
Facilitymedian $174 · 10th to 90th $100 to $2,754Professionalmedian $123 · 10th to 90th $87 to $245
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 $100.00 Median $158.49 Typical High $794.33 | Facility | None | $100.00 | $158.49 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $89.13 | Facility | 26 · Professional part | $36.31 | $50.12 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $204.17 | Facility | TC · Technical part | $60.26 | $85.11 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $93.33 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $69.18 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
AmeriHealth Setting Facility Modifier None Typical Low $2,818.38 Median $5,754.40 Typical High $7,585.78 | Facility | None | $2,818.38 | $5,754.40 | $7,585.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $44.67 | $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 $338.84 Median $426.58 Typical High $5,011.87 | Facility | TC · Technical part | $338.84 | $426.58 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $112.20 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $112.20 | $186.21 | $363.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $147.91 | Professional | 26 · Professional part | $41.69 | $69.18 | $147.91 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $70.79 | $117.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $125.89 Typical High $407.38 | Facility | None | $70.79 | $125.89 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $57.54 | $114.82 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $20.42 | $42.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $37.15 | $72.44 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $87.10 | $169.82 | $169.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $123.03 | $165.96 | $309.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $66.07 | $117.49 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $100.00 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $190.55 Typical High $1,047.13 | Facility | None | $89.13 | $190.55 | $1,047.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Independence Blue Cross Setting Facility Modifier None Typical Low $50.12 Median $3,548.13 Typical High $6,025.60 | Facility | None | $50.12 | $3,548.13 | $6,025.60 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $794.33 | Facility | None | $100.00 | $165.96 | $794.33 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $213.80 | Facility | TC · Technical part | $60.26 | $72.44 | $213.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $93.33 | $107.15 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $38.90 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $67.61 | $104.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $229.09 Typical High $416.87 | Facility | None | $112.20 | $229.09 | $416.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $112.20 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $100.00 | $100.00 |
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 $70.79 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $70.79 | $123.03 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $45.71 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $44.67 | $77.62 | $125.89 |
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 $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $19.05 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $46.77 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $19.05 | $22.39 |
Where Pennsylvania sits
The same service costs 4.5 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· 30th of 51
$132
AK $316AL $70.79
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.