How much rates vary
Facilitymedian $251 · 10th to 90th $78 to $1,380Professionalmedian $36 · 10th to 90th $29 to $68
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 $33.11 Median $77.62 Typical High $1,412.54 | Facility | None | $33.11 | $77.62 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $28.18 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $11.22 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $29.51 | Professional | TC · Technical part | $18.62 | $22.39 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $32.36 | $51.29 | $51.29 |
AmeriHealth Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $1,096.48 | Facility | None | $100.00 | $223.87 | $1,096.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $33.88 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $33.88 | $35.48 | $46.77 |
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 (both parts) Typical Low $29.51 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $29.51 | $52.48 | $89.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $10.47 | $18.62 | $33.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $19.05 | $33.11 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $28.18 | $38.90 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $9.77 | $15.49 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $17.38 | $23.99 | $37.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | None (both parts) | $46.77 | $52.48 | $58.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $31.62 | $38.90 | $69.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $15.49 | $23.99 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $23.99 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $426.58 Typical High $630.96 | Facility | None | $234.42 | $426.58 | $630.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $13.49 | Professional | 26 · Professional part | $11.75 | $12.88 | $13.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $1,380.38 | Facility | None | $131.83 | $223.87 | $1,380.38 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | None (both parts) | $33.88 | $33.88 | $43.65 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $77.62 Typical High $1,862.09 | Facility | None | $33.11 | $77.62 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $28.18 | $33.11 | $45.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $11.22 | $17.78 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $18.62 | $22.39 | $28.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $34.67 | $36.31 | $53.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $29.51 Median $269.15 Typical High $426.58 | Facility | None | $29.51 | $269.15 | $426.58 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $29.51 | $38.02 | $38.02 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $15.85 | $15.85 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $19.05 | $21.88 | $21.88 |
United Setting Facility Modifier None Typical Low $177.83 Median $380.19 Typical High $436.52 | Facility | None | $177.83 | $380.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $30.90 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $14.45 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $23.44 | $43.65 |
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 $14.13 Median $15.85 Typical High $17.78 | Professional | 52 · Reduced service | $14.13 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $6.31 | $7.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.60 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.17 | $6.61 |
Where Pennsylvania sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$38.02
AK $83.18FL $30.90
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.