How much rates vary
Facilitymedian $617 · 10th to 90th $324 to $18,197Professionalmedian $380 · 10th to 90th $214 to $676
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 $331.13 Median $446.68 Typical High $575.44 | Facility | None | $331.13 | $446.68 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $102.33 | Facility | 26 · Professional part | $56.23 | $79.43 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $549.54 | Facility | TC · Technical part | $263.03 | $371.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $229.09 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $56.23 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $162.18 | $263.03 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
AmeriHealth Setting Facility Modifier None Typical Low $5,754.40 Median $13,803.84 Typical High $20,417.38 | Facility | None | $5,754.40 | $13,803.84 | $20,417.38 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $398.11 | $436.52 | $562.34 |
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 $537.03 Median $691.83 Typical High $5,011.87 | Facility | TC · Technical part | $537.03 | $691.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $371.54 | $467.74 | $933.25 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $100.00 | $158.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $309.03 | $380.19 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $1,000.00 | Facility | None | $323.59 | $478.63 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $123.03 | $269.15 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $61.66 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $87.10 | $223.87 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $295.12 | $575.44 | $575.44 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $204.17 | $389.05 | $630.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $74.13 | $131.83 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $138.04 | $323.59 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $446.68 | Facility | None | $158.49 | $269.15 | $446.68 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | None (both parts) | $354.81 | $354.81 | $363.08 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $64.57 | $104.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $5,888.44 Median $11,220.18 Typical High $20,417.38 | Facility | None | $5,888.44 | $11,220.18 | $20,417.38 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $398.11 | $426.58 | $562.34 |
Martin's Point Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $660.69 | Facility | None | $380.19 | $549.54 | $660.69 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $588.84 | Facility | TC · Technical part | $263.03 | $323.59 | $588.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $218.78 | $316.23 | $575.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $56.23 | $95.50 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $158.49 | $263.03 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $446.68 Typical High $707.95 | Facility | None | $223.87 | $446.68 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $223.87 | $223.87 | $380.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $61.66 | $70.79 | $70.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $151.36 | $316.23 |
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 $213.80 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $213.80 | $389.05 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $66.07 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $323.59 | $524.81 |
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 $154.88 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $63.10 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $158.49 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $63.10 | $75.86 |
Where Pennsylvania sits
The same service costs 9.1 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· 23rd of 51
$389
AK $891AL $97.72
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.