How much rates vary
Facilitymedian $54 · 10th to 90th $8 to $1,862Professionalmedian $9 · 10th to 90th $8 to $16
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 $7.59 Median $162.18 Typical High $630.96 | Facility | None | $7.59 | $162.18 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $12.02 | Professional | None | $7.59 | $8.71 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.82 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.82 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $13.18 | Professional | None | $7.94 | $8.71 | $13.18 |
AmeriHealth Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $102.33 | Professional | None | $10.00 | $10.00 | $102.33 |
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 Typical Low $8.91 Median $9.12 Typical High $16.60 | Professional | None | $8.91 | $9.12 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $758.58 | Facility | None | $8.32 | $8.32 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $8.91 Typical High $14.45 | Professional | None | $7.76 | $8.91 | $14.45 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $15.14 | Professional | None | $7.59 | $12.59 | $15.14 |
Geisinger Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $19.05 | Professional | None | $8.13 | $10.96 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $154.88 | Facility | None | $19.05 | $19.05 | $154.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $123.03 | Professional | None | $9.12 | $14.13 | $123.03 |
Independence Blue Cross Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $91.20 | Professional | None | $10.00 | $10.00 | $91.20 |
Martin's Point Setting Facility Modifier None Typical Low $7.59 Median $10.00 Typical High $630.96 | Facility | None | $7.59 | $10.00 | $630.96 |
Martin's Point Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $10.72 | Professional | None | $7.59 | $8.71 | $10.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | 52 · Reduced service | $3.80 | $3.80 | $4.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.82 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.82 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $19.05 | Professional | None | $12.30 | $12.30 | $19.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.94 Median $53.70 Typical High $81.28 | Facility | None | $7.94 | $53.70 | $81.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $15.49 | Professional | None | $7.59 | $8.51 | $15.49 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $9.12 Median $12.02 Typical High $12.88 | Professional | 76 · Repeat, same provider | $9.12 | $12.02 | $12.88 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 40th of 51
$9.12
AK $20.42MD $8.32
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.