How much rates vary
Facilitymedian $155 · 10th to 90th $89 to $912Professionalmedian $126 · 10th to 90th $66 to $214
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 $89.13 Median $107.15 Typical High $151.36 | Facility | None | $89.13 | $107.15 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $25.70 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $64.57 | $77.62 |
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 $177.83 Median $229.09 Typical High $5,011.87 | Facility | TC · Technical part | $177.83 | $229.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $125.89 | $138.04 | $245.47 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $48.98 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $97.72 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $147.91 Typical High $239.88 | Facility | None | $91.20 | $147.91 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $72.44 Typical High $144.54 | Professional | None (both parts) | $42.66 | $72.44 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $13.80 | $25.70 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $28.84 | $50.12 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $97.72 | $194.98 | $194.98 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $69.18 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $69.18 | $128.82 | $213.80 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $35.48 | $58.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $45.71 | $95.50 | $154.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $151.36 | Facility | None | $107.15 | $107.15 | $151.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $25.70 | $28.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $64.57 | $77.62 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $457.09 Typical High $741.31 | Facility | None | $77.62 | $457.09 | $741.31 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $77.62 | $77.62 | $117.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $26.92 | $31.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $50.12 | $50.12 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $61.66 | $109.65 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $33.11 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $77.62 | $125.89 |
5 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 $43.65 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $18.20 | $21.38 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | XU · Unusual separate service | $66.07 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $44.67 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $18.20 | $21.38 |
Where Pennsylvania sits
The same service costs 4.6 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· 22nd of 51
$126
AK $269AL $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.