How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $32Professionalmedian $14 · 10th to 90th $10 to $17
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 $12.30 Median $13.80 Typical High $16.60 | Facility | None | $12.30 | $13.80 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $16.60 | Professional | None | $12.30 | $14.13 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.49 | Professional | None | $8.32 | $8.32 | $13.49 |
AmeriHealth Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $15.14 | Professional | None | $9.77 | $12.59 | $15.14 |
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 Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $22.39 | Professional | None | $14.79 | $15.49 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $13.80 | Professional | None | $2.82 | $3.24 | $13.80 |
Emblem Health Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $23.44 | Professional | None | $10.96 | $15.85 | $23.44 |
Geisinger Setting Professional Modifier None Typical Low $5.75 Median $14.13 Typical High $25.12 | Professional | None | $5.75 | $14.13 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $380.19 | Facility | None | $15.85 | $15.85 | $380.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | None | $10.96 | $12.02 | $15.85 |
Independence Blue Cross Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $15.14 | Professional | None | $9.77 | $12.59 | $15.14 |
Martin's Point Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $16.60 | Facility | None | $12.30 | $13.80 | $16.60 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $16.60 | Professional | None | $12.30 | $14.13 | $16.60 |
Optum Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $3.72 Median $11.22 Typical High $14.79 | Professional | None | $3.72 | $11.22 | $14.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.47 Median $13.18 Typical High $14.79 | Facility | None | $4.47 | $13.18 | $14.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.18 Median $48.98 Typical High $48.98 | Professional | None | $13.18 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | None | $11.22 | $11.22 | $15.49 |
13 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 Facility Modifier AF · Specialist physician Typical Low $16.22 Median $16.60 Typical High $17.38 | Facility | AF · Specialist physician | $16.22 | $16.60 | $17.38 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.88 | Facility | HO · Master's level | $12.30 | $12.30 | $12.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $13.80 Median $14.13 Typical High $14.79 | Facility | TD · Registered nurse | $13.80 | $14.13 | $14.79 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.72 Median $16.60 Typical High $21.88 | Professional | AF · Specialist physician | $3.72 | $16.60 | $21.88 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.82 Median $12.30 Typical High $16.22 | Professional | HO · Master's level | $2.82 | $12.30 | $16.22 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.16 Median $14.13 Typical High $18.62 | Professional | TD · Registered nurse | $3.16 | $14.13 | $18.62 |
Highmark BCBS Setting Professional Modifier SA · Nurse practitioner Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | SA · Nurse practitioner | $10.96 | $12.02 | $15.85 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $16.22 Median $16.60 Typical High $17.38 | Facility | AF · Specialist physician | $16.22 | $16.60 | $17.38 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.88 | Facility | HO · Master's level | $12.30 | $12.30 | $12.88 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $13.80 Median $14.13 Typical High $14.79 | Facility | TD · Registered nurse | $13.80 | $14.13 | $14.79 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $3.72 Median $16.60 Typical High $21.88 | Professional | AF · Specialist physician | $3.72 | $16.60 | $21.88 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $2.82 Median $12.30 Typical High $16.22 | Professional | HO · Master's level | $2.82 | $12.30 | $16.22 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $3.16 Median $14.13 Typical High $18.62 | Professional | TD · Registered nurse | $3.16 | $14.13 | $18.62 |
Where Pennsylvania sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 11th of 51
$13.80
AK $18.20GA $10.00
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.