How much rates vary
Facilitymedian $295 · 10th to 90th $145 to $5,012Professionalmedian $148 · 10th to 90th $126 to $204
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 $125.89 Median $208.93 Typical High $354.81 | Facility | None | $125.89 | $208.93 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $169.82 | Professional | None | $125.89 | $144.54 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | None | $134.90 | $165.96 | $208.93 |
AmeriHealth Setting Facility Modifier None Typical Low $173.78 Median $2,089.30 Typical High $7,413.10 | Facility | None | $173.78 | $2,089.30 | $7,413.10 |
AmeriHealth Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $199.53 | Professional | None | $169.82 | $173.78 | $199.53 |
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 $194.98 Median $204.17 Typical High $257.04 | Professional | None | $194.98 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $181.97 | Professional | None | $64.57 | $67.61 | $181.97 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $131.83 | Facility | None | $54.95 | $60.26 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $151.36 | Professional | None | $100.00 | $131.83 | $151.36 |
Geisinger Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $169.82 | Facility | None | $154.88 | $154.88 | $169.82 |
Geisinger Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $338.84 | Professional | None | $131.83 | $194.98 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $93.33 Median $218.78 Typical High $501.19 | Facility | None | $93.33 | $218.78 | $501.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $251.19 | Professional | None | $177.83 | $208.93 | $251.19 |
Independence Blue Cross Setting Facility Modifier None Typical Low $173.78 Median $2,187.76 Typical High $7,413.10 | Facility | None | $173.78 | $2,187.76 | $7,413.10 |
Independence Blue Cross Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $199.53 | Professional | None | $169.82 | $173.78 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $354.81 | Facility | None | $131.83 | $245.47 | $354.81 |
Martin's Point Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $169.82 | Professional | None | $125.89 | $144.54 | $169.82 |
Optum Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
Oscar Health Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,096.48 | Facility | None | $707.95 | $812.83 | $1,096.48 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $194.98 | Professional | None | $75.86 | $147.91 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $190.55 | Facility | None | $112.20 | $114.82 | $190.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $190.55 | Professional | None | $112.20 | $114.82 | $190.55 |
United Setting Facility Modifier None Typical Low $245.47 Median $524.81 Typical High $602.56 | Facility | None | $245.47 | $524.81 | $602.56 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Professional | None | $147.91 | $147.91 | $204.17 |
17 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 $169.82 Median $169.82 Typical High $177.83 | Facility | AF · Specialist physician | $169.82 | $169.82 | $177.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $125.89 Median $128.82 Typical High $134.90 | Facility | HO · Master's level | $125.89 | $128.82 | $134.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $144.54 Median $144.54 Typical High $151.36 | Facility | TD · Registered nurse | $144.54 | $144.54 | $151.36 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $120.23 Median $134.90 Typical High $208.93 | Professional | AF · Specialist physician | $120.23 | $134.90 | $208.93 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $125.89 Median $128.82 Typical High $223.87 | Professional | HO · Master's level | $125.89 | $128.82 | $223.87 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $141.25 Typical High $190.55 | Professional | TD · Registered nurse | $75.86 | $141.25 | $190.55 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | HE · Mental health program | $134.90 | $134.90 | $158.49 |
Ambetter Setting Professional Modifier HF · Substance use program Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | HF · Substance use program | $120.23 | $120.23 | $120.23 |
Highmark BCBS Setting Professional Modifier AM · Physician, team member Typical Low $194.98 Median $194.98 Typical High $281.84 | Professional | AM · Physician, team member | $194.98 | $194.98 | $281.84 |
Highmark BCBS Setting Professional Modifier GC · Resident with teaching physician Typical Low $177.83 Median $229.09 Typical High $346.74 | Professional | GC · Resident with teaching physician | $177.83 | $229.09 | $346.74 |
Highmark BCBS Setting Professional Modifier HE · Mental health program Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | HE · Mental health program | $208.93 | $208.93 | $208.93 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $169.82 Median $169.82 Typical High $177.83 | Facility | AF · Specialist physician | $169.82 | $169.82 | $177.83 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $125.89 Median $128.82 Typical High $134.90 | Facility | HO · Master's level | $125.89 | $128.82 | $134.90 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $144.54 Median $144.54 Typical High $151.36 | Facility | TD · Registered nurse | $144.54 | $144.54 | $151.36 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $120.23 Median $134.90 Typical High $199.53 | Professional | AF · Specialist physician | $120.23 | $134.90 | $199.53 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $125.89 Median $128.82 Typical High $223.87 | Professional | HO · Master's level | $125.89 | $128.82 | $223.87 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $144.54 Typical High $190.55 | Professional | TD · Registered nurse | $75.86 | $144.54 | $190.55 |
Where Pennsylvania sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 34th of 51
$151
ND $295KY $132
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.