How much rates vary
Facilitymedian $95 · 10th to 90th $79 to $468Professionalmedian $93 · 10th to 90th $76 to $115
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 $79.43 Median $83.18 Typical High $123.03 | Facility | None | $79.43 | $83.18 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $117.49 | Professional | None | $79.43 | $89.13 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
AmeriHealth Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $109.65 | Professional | None | $83.18 | $93.33 | $109.65 |
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 $104.71 Median $107.15 Typical High $154.88 | Professional | None | $104.71 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $102.33 | Professional | None | $60.26 | $70.79 | $102.33 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Facility | None | $66.07 | $66.07 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | None | $66.07 | $66.07 | $95.50 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $87.10 | Facility | None | $79.43 | $79.43 | $87.10 |
Geisinger Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $199.53 | Professional | None | $79.43 | $107.15 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $741.31 | Facility | None | $107.15 | $128.82 | $741.31 |
Highmark BCBS Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $114.82 | Professional | None | $75.86 | $83.18 | $114.82 |
Independence Blue Cross Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $109.65 | Professional | None | $83.18 | $97.72 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $123.03 | Facility | None | $79.43 | $79.43 | $123.03 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $117.49 | Professional | None | $79.43 | $89.13 | $117.49 |
Optum Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Oscar Health Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $104.71 | Professional | None | $60.26 | $89.13 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $288.40 | Facility | None | $89.13 | $138.04 | $288.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | None | $72.44 | $72.44 | $104.71 |
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 $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
16 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 $104.71 Median $112.20 Typical High $123.03 | Facility | AF · Specialist physician | $104.71 | $112.20 | $123.03 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $79.43 Median $83.18 Typical High $93.33 | Facility | HO · Master's level | $79.43 | $83.18 | $93.33 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $89.13 Median $93.33 Typical High $104.71 | Facility | TD · Registered nurse | $89.13 | $93.33 | $104.71 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $93.33 Median $104.71 Typical High $186.21 | Professional | AF · Specialist physician | $93.33 | $104.71 | $186.21 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $79.43 Median $89.13 Typical High $138.04 | Professional | HO · Master's level | $79.43 | $89.13 | $138.04 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $89.13 Median $100.00 Typical High $158.49 | Professional | TD · Registered nurse | $89.13 | $100.00 | $158.49 |
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | HG · Opioid treatment program | $54.95 | $54.95 | $64.57 |
Highmark BCBS Setting Professional Modifier FQ · Audio-only Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | FQ · Audio-only | $83.18 | $83.18 | $102.33 |
Highmark BCBS Setting Professional Modifier HP · Doctoral level Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | HP · Doctoral level | $102.33 | $112.20 | $112.20 |
Highmark BCBS Setting Professional Modifier SA · Nurse practitioner Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | SA · Nurse practitioner | $75.86 | $83.18 | $83.18 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $104.71 Median $112.20 Typical High $123.03 | Facility | AF · Specialist physician | $104.71 | $112.20 | $123.03 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $79.43 Median $83.18 Typical High $93.33 | Facility | HO · Master's level | $79.43 | $83.18 | $93.33 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $89.13 Median $93.33 Typical High $104.71 | Facility | TD · Registered nurse | $89.13 | $93.33 | $104.71 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $93.33 Median $104.71 Typical High $186.21 | Professional | AF · Specialist physician | $93.33 | $104.71 | $186.21 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $79.43 Median $89.13 Typical High $138.04 | Professional | HO · Master's level | $79.43 | $89.13 | $138.04 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $89.13 Median $100.00 Typical High $158.49 | Professional | TD · Registered nurse | $89.13 | $100.00 | $158.49 |
Where Pennsylvania sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 24th of 51
$93.33
AK $129NM $72.44
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.