How much rates vary
Facilitymedian $123 · 10th to 90th $87 to $427Professionalmedian $98 · 10th to 90th $78 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 $87.10 Median $102.33 Typical High $263.03 | Facility | None | $87.10 | $102.33 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $114.82 | Professional | None | $85.11 | $95.50 | $114.82 |
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 $102.33 Median $107.15 Typical High $147.91 | Professional | None | $102.33 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $120.23 | Professional | None | $54.95 | $72.44 | $120.23 |
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 Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $213.80 | Professional | None | $77.62 | $107.15 | $213.80 |
Martin's Point Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $263.03 | Facility | None | $87.10 | $102.33 | $263.03 |
Martin's Point Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $114.82 | Professional | None | $85.11 | $95.50 | $114.82 |
Optum Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $213.80 | Professional | None | $117.49 | $123.03 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $338.84 | Facility | None | $102.33 | $165.96 | $338.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $114.82 | Professional | None | $87.10 | $107.15 | $114.82 |
United Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $346.74 | Facility | None | $141.25 | $295.12 | $346.74 |
United Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $190.55 | Professional | None | $83.18 | $102.33 | $190.55 |
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 $112.20 Median $112.20 Typical High $120.23 | Facility | AF · Specialist physician | $112.20 | $112.20 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $85.11 | $91.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $95.50 Median $95.50 Typical High $102.33 | Facility | TD · Registered nurse | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $112.20 Median $114.82 Typical High $123.03 | Professional | AF · Specialist physician | $112.20 | $114.82 | $123.03 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $87.10 Typical High $91.20 | Professional | HO · Master's level | $85.11 | $87.10 | $91.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $95.50 Median $97.72 Typical High $104.71 | Professional | TD · Registered nurse | $95.50 | $97.72 | $104.71 |
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 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $112.20 Median $112.20 Typical High $120.23 | Facility | AF · Specialist physician | $112.20 | $112.20 | $120.23 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $85.11 | $91.20 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $95.50 Median $95.50 Typical High $102.33 | Facility | TD · Registered nurse | $95.50 | $95.50 | $102.33 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $112.20 Median $114.82 Typical High $123.03 | Professional | AF · Specialist physician | $112.20 | $114.82 | $123.03 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $87.10 Typical High $91.20 | Professional | HO · Master's level | $85.11 | $87.10 | $91.20 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $95.50 Median $97.72 Typical High $104.71 | Professional | TD · Registered nurse | $95.50 | $97.72 | $104.71 |
Where Pennsylvania sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 19th of 51
$97.72
HI $170AZ $74.13
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.