How much rates vary
Facilitymedian $407 · 10th to 90th $81 to $6,607Professionalmedian $316 · 10th to 90th $245 to $575
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 $288.40 Median $831.76 Typical High $8,511.38 | Facility | None | $288.40 | $831.76 | $8,511.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $199.53 | Facility | 26 · Professional part | $87.10 | $117.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $245.47 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $204.17 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $134.90 | $141.25 | $181.97 |
AmeriHealth Setting Facility Modifier None Typical Low $36,307.81 Median $57,543.99 Typical High $97,723.72 | Facility | None | $36,307.81 | $57,543.99 | $97,723.72 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $117.49 | $125.89 |
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 $302.00 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $302.00 | $331.13 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $158.49 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $223.87 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $245.47 | $309.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $107.15 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $199.53 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $380.19 | $380.19 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $275.42 | $275.42 | $616.60 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $97.72 | $128.82 | $213.80 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $177.83 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $1,318.26 Typical High $9,549.93 | Facility | None | $398.11 | $1,318.26 | $9,549.93 |
Independence Blue Cross Setting Facility Modifier None Typical Low $36,307.81 Median $45,708.82 Typical High $97,723.72 | Facility | None | $36,307.81 | $45,708.82 | $97,723.72 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $117.49 | $125.89 |
Martin's Point Setting Facility Modifier None Typical Low $288.40 Median $724.44 Typical High $8,317.64 | Facility | None | $288.40 | $724.44 | $8,317.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $245.47 | $302.00 | $446.68 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $102.33 | $144.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $199.53 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $338.84 | $338.84 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $691.83 | Facility | None | $281.84 | $407.38 | $691.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $281.84 | $281.84 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $91.20 | $91.20 | $93.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $208.93 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $295.12 | $380.19 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $97.72 | $125.89 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $263.03 | $446.68 |
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 $123.03 Median $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $48.98 | $54.95 | $63.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $138.04 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $138.04 | $154.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $48.98 | $54.95 | $63.10 |
Where Pennsylvania sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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
$316
WI $891HI $138
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.