How much rates vary
Facilitymedian $55 · 10th to 90th $11 to $1,862Professionalmedian $18 · 10th to 90th $14 to $32
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 $16.98 Median $19.05 Typical High $1,862.09 | Facility | None | $16.98 | $19.05 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.38 Typical High $19.05 | Professional | None (both parts) | $16.98 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.51 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.47 Typical High $4.07 | Professional | TC · Technical part | $3.39 | $3.47 | $4.07 |
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 $17.78 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $17.78 | $18.62 | $18.62 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.45 | $14.79 | $14.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.63 Typical High $3.63 | Professional | TC · Technical part | $3.47 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $8.71 Typical High $10.72 | Facility | None | $4.68 | $8.71 | $10.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $14.45 Typical High $47.86 | Professional | None (both parts) | $13.49 | $14.45 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.96 | $12.02 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.24 Median $2.88 Typical High $35.48 | Professional | TC · Technical part | $2.24 | $2.88 | $35.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $31.62 | Professional | None (both parts) | $20.89 | $29.51 | $31.62 |
Geisinger Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $16.98 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $16.98 | $28.84 | $50.12 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $30.20 | Professional | 26 · Professional part | $13.49 | $15.14 | $30.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $5.75 Typical High $34.67 | Professional | TC · Technical part | $3.39 | $5.75 | $34.67 |
Martin's Point Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $1,862.09 | Facility | None | $19.05 | $19.05 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.38 Typical High $19.05 | Professional | None (both parts) | $16.98 | $17.38 | $19.05 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $13.80 | $15.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.51 | $8.71 | $9.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.47 | $3.80 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.47 Typical High $4.07 | Professional | TC · Technical part | $3.39 | $3.47 | $4.07 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $107.15 | Professional | None (both parts) | $30.20 | $30.20 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.38 Median $51.29 Typical High $75.86 | Facility | None | $17.38 | $51.29 | $75.86 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $17.38 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $17.38 | $63.10 | $63.10 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $13.80 | $19.95 | $19.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $3.47 | $42.66 | $42.66 |
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 $15.49 Median $16.60 Typical High $42.66 | Professional | None (both parts) | $15.49 | $16.60 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $13.18 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $3.02 Typical High $30.20 | Professional | TC · Technical part | $2.69 | $3.02 | $30.20 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | XU · Unusual separate service | $42.66 | $42.66 | $42.66 |
Where Pennsylvania sits
The same service costs 2.5 times more in California than in Texas. 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· 42nd of 51
$17.78
CA $40.74TX $16.22
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.