How much rates vary
Facilitymedian $78 · 10th to 90th $32 to $1,862Professionalmedian $32 · 10th to 90th $29 to $44
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 $28.84 Median $32.36 Typical High $1,862.09 | Facility | None | $28.84 | $32.36 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $32.36 | Professional | None (both parts) | $28.84 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $14.13 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.22 Typical High $17.38 | Professional | TC · Technical part | $14.79 | $16.22 | $17.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $29.51 | $29.51 | $38.90 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
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 $32.36 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $32.36 | $33.88 | $33.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $15.85 | $16.22 | $16.22 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $16.98 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $25.70 | $28.84 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $13.80 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.14 Typical High $33.11 | Professional | TC · Technical part | $13.18 | $15.14 | $33.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $60.26 | Professional | None (both parts) | $39.81 | $57.54 | $60.26 |
Geisinger Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $31.62 | $46.77 | $70.79 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $19.50 | $33.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $16.60 | $26.92 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $275.42 | Facility | None | $263.03 | $263.03 | $275.42 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $42.66 | Professional | None (both parts) | $38.02 | $40.74 | $42.66 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $1,862.09 | Facility | None | $32.36 | $32.36 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $32.36 | Professional | None (both parts) | $28.84 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $14.13 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.22 Typical High $17.38 | Professional | TC · Technical part | $14.79 | $16.22 | $17.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $70.79 | $70.79 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $61.66 Typical High $93.33 | Facility | None | $31.62 | $61.66 | $93.33 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $31.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $31.62 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $15.49 | $19.05 | $19.05 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $16.60 | $58.88 | $58.88 |
United Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $199.53 | Facility | None | $81.28 | $173.78 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $29.51 | $35.48 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $19.05 | Professional | 26 · Professional part | $14.13 | $16.98 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $29.51 | Professional | TC · Technical part | $15.14 | $18.62 | $29.51 |
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 $14.45 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.46 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $15.85 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.46 |
Where Pennsylvania sits
The same service costs 3.4 times more in Alaska than in New York. 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· 35th of 51
$32.36
AK $87.10NY $25.70
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.