How much rates vary
Facilitymedian $234 · 10th to 90th $166 to $4,266Professionalmedian $229 · 10th to 90th $170 to $372
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 $169.82 Median $190.55 Typical High $1,862.09 | Facility | None | $169.82 | $190.55 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $169.82 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $45.71 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $147.91 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
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 $229.09 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $229.09 | $234.42 | $467.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $47.86 | $114.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $165.96 | $251.19 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $190.55 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $338.84 | $389.05 | $426.58 |
Geisinger Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $229.09 | $288.40 | $512.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $66.07 | $123.03 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $223.87 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $1,862.09 | Facility | None | $190.55 | $190.55 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $169.82 | $190.55 | $251.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $45.71 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $147.91 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $165.96 | $223.87 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $302.00 | Facility | None | $138.04 | $199.53 | $302.00 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $181.97 | $234.42 | $234.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $72.44 | $72.44 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $181.97 | $218.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $52.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $141.25 | $165.96 | $281.84 |
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 $85.11 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $85.11 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $33.88 | $38.02 | $44.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $95.50 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $38.02 | $39.81 |
Where Pennsylvania sits
The same service costs 3.0 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· 35th of 51
$229
AK $513FL $174
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.