How much rates vary
Facilitymedian $66 · 10th to 90th $51 to $4,266Professionalmedian $66 · 10th to 90th $45 to $120
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 $63.10 Median $63.10 Typical High $125.89 | Facility | None | $63.10 | $63.10 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $52.48 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $20.42 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $33.11 | $33.88 | $40.74 |
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 $144.54 Median $181.97 Typical High $5,011.87 | Facility | TC · Technical part | $144.54 | $181.97 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $64.57 | $107.15 | $181.97 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $39.81 | $67.61 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $67.61 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $138.04 | Facility | None | $38.90 | $69.18 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $30.20 | $58.88 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $21.88 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $19.05 | $38.02 | $63.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $47.86 | $93.33 | $93.33 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $57.54 | $69.18 | $131.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $26.92 | $50.12 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $43.65 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $125.89 | Facility | None | $63.10 | $63.10 | $125.89 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $52.48 | $54.95 | $63.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $20.42 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $33.11 | $33.88 | $40.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $66.07 | Facility | None | $63.10 | $63.10 | $66.07 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | None (both parts) | $63.10 | $63.10 | $66.07 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $22.91 | $22.91 | $24.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $39.81 | $39.81 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $39.81 | $69.18 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $15.14 | $26.30 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $44.67 Typical High $70.79 | Professional | TC · Technical part | $24.55 | $44.67 | $70.79 |
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 $26.30 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $10.96 | $12.59 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | XU · Unusual separate service | $56.23 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $26.92 | $31.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $10.96 | $12.59 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$66.07
AK $182TX $41.69
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.