How much rates vary
Facilitymedian $47 · 10th to 90th $11 to $1,862Professionalmedian $17 · 10th to 90th $13 to $29
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 $15.85 Median $18.20 Typical High $1,862.09 | Facility | None | $15.85 | $18.20 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.22 Typical High $18.20 | Professional | None (both parts) | $15.85 | $16.22 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.13 Typical High $9.12 | Professional | 52 · Reduced service | $7.94 | $8.13 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.63 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.63 |
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 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
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 $16.98 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $16.98 | $17.38 | $17.38 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.18 | $13.80 | $13.80 |
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 $12.88 Median $13.18 Typical High $44.67 | Professional | None (both parts) | $12.88 | $13.18 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $14.13 | Professional | 26 · Professional part | $10.00 | $11.22 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.91 Median $2.69 Typical High $33.11 | Professional | TC · Technical part | $1.91 | $2.69 | $33.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $28.18 Typical High $29.51 | Professional | None (both parts) | $19.95 | $28.18 | $29.51 |
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 $15.85 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $15.85 | $27.54 | $47.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $26.92 | Professional | 26 · Professional part | $12.30 | $13.80 | $26.92 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $5.75 Typical High $32.36 | Professional | TC · Technical part | $3.39 | $5.75 | $32.36 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | None (both parts) | $18.62 | $18.62 | $20.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $34.67 | Professional | None (both parts) | $17.38 | $17.38 | $34.67 |
Martin's Point Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $1,862.09 | Facility | None | $18.20 | $18.20 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.22 Typical High $18.20 | Professional | None (both parts) | $15.85 | $16.22 | $18.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $12.88 | $14.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.13 Typical High $9.12 | Professional | 52 · Reduced service | $7.94 | $8.13 | $9.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.63 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.63 |
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 $26.92 Median $26.92 Typical High $102.33 | Professional | None (both parts) | $26.92 | $26.92 | $102.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.22 Median $43.65 Typical High $64.57 | Facility | None | $16.22 | $43.65 | $64.57 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $16.22 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $16.22 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $12.88 | $17.38 | $17.38 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $3.47 | $41.69 | $41.69 |
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 $14.79 Median $15.49 Typical High $39.81 | Professional | None (both parts) | $14.79 | $15.49 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $13.49 | Professional | 26 · Professional part | $9.55 | $12.30 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $3.02 Typical High $28.84 | Professional | TC · Technical part | $2.69 | $3.02 | $28.84 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | XU · Unusual separate service | $28.84 | $28.84 | $28.84 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $42.66 Median $42.66 Typical High $61.66 | Facility | XU · Unusual separate service | $42.66 | $42.66 | $61.66 |
Where Pennsylvania sits
The same service costs 2.6 times more in California 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· 38th of 51
$16.98
CA $38.02NY $14.45
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.