How much rates vary
Facilitymedian $219 · 10th to 90th $62 to $708Professionalmedian $170 · 10th to 90th $100 to $309
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 $147.91 Median $218.78 Typical High $389.05 | Facility | None | $147.91 | $218.78 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $91.20 | Facility | 26 · Professional part | $36.31 | $57.54 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $239.88 | Facility | TC · Technical part | $104.71 | $147.91 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $138.04 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $38.90 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $125.89 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $60.26 | $79.43 |
AmeriHealth Setting Facility Modifier None Typical Low $79.43 Median $4,677.35 Typical High $7,943.28 | Facility | None | $79.43 | $4,677.35 | $7,943.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $43.65 | $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 $354.81 Median $446.68 Typical High $5,011.87 | Facility | TC · Technical part | $354.81 | $446.68 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $169.82 | $173.78 | $407.38 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $43.65 | $109.65 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $131.83 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $218.78 Typical High $446.68 | Facility | None | $117.49 | $218.78 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $79.43 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $33.11 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $48.98 | $79.43 | $173.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $109.65 | $251.19 | $251.19 |
Geisinger Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $112.20 | $190.55 | $346.74 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $64.57 | $112.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $128.82 Typical High $239.88 | Professional | TC · Technical part | $58.88 | $128.82 | $239.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $57.54 Median $257.04 Typical High $741.31 | Facility | None | $57.54 | $257.04 | $741.31 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $42.66 | $67.61 |
Independence Blue Cross Setting Facility Modifier None Typical Low $79.43 Median $4,677.35 Typical High $7,943.28 | Facility | None | $79.43 | $4,677.35 | $7,943.28 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $389.05 | Facility | None | $147.91 | $239.88 | $389.05 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $263.03 | Facility | TC · Technical part | $104.71 | $128.82 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $141.25 | $165.96 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $38.90 | $67.61 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $123.03 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $173.78 | Facility | None | $41.69 | $70.79 | $173.78 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $114.82 | $114.82 | $173.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $58.88 | $58.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $56.23 | $131.83 |
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 $95.50 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $95.50 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $128.82 | $208.93 |
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 $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Where Pennsylvania sits
The same service costs 4.9 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· 25th of 51
$174
AK $468AL $95.50
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.