How much rates vary
Facilitymedian $214 · 10th to 90th $79 to $7,244Professionalmedian $186 · 10th to 90th $148 to $324
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 $190.55 Median $2,818.38 Typical High $8,709.64 | Facility | None | $190.55 | $2,818.38 | $8,709.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $147.91 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $85.11 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $102.33 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $107.15 | $107.15 | $144.54 |
AmeriHealth Setting Facility Modifier None Typical Low $6,760.83 Median $9,549.93 Typical High $25,118.86 | Facility | None | $6,760.83 | $9,549.93 | $25,118.86 |
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 $165.96 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $165.96 | $186.21 | $323.59 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $114.82 | $147.91 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $100.00 | $169.82 |
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 $151.36 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $151.36 | $186.21 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $85.11 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $102.33 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $229.09 | $229.09 | $316.23 |
Geisinger Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $165.96 | $169.82 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $104.71 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $89.13 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,659.59 Typical High $7,943.28 | Facility | None | $446.68 | $1,659.59 | $7,943.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $9,120.11 Median $9,549.93 Typical High $25,118.86 | Facility | None | $9,120.11 | $9,549.93 | $25,118.86 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $3,630.78 Typical High $8,709.64 | Facility | None | $190.55 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $147.91 | $181.97 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $85.11 | $112.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $102.33 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $208.93 | $208.93 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $239.88 | Facility | None | $131.83 | $169.82 | $239.88 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $165.96 | $173.78 | $173.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $72.44 | $72.44 | $74.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $93.33 | $93.33 | $95.50 |
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 $169.82 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $169.82 | $218.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $102.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $125.89 | $190.55 |
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 $74.13 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $33.88 | $38.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $83.18 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $33.88 | $38.02 |
Where Pennsylvania sits
The same service costs 4.3 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· 39th of 51
$186
WI $562HI $132
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.