How much rates vary
Facilitymedian $309 · 10th to 90th $107 to $1,862Professionalmedian $115 · 10th to 90th $100 to $191
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 $100.00 Median $125.89 Typical High $1,862.09 | Facility | None | $100.00 | $125.89 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $48.98 | $63.10 |
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 $109.65 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $109.65 | $114.82 | $208.93 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $56.23 | $109.65 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $58.88 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $138.04 Typical High $165.96 | Facility | None | $67.61 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $107.15 | $123.03 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $60.26 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $61.66 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $141.25 | $177.83 | $204.17 |
Geisinger Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $109.65 | $141.25 | $251.19 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $74.13 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $70.79 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $1,862.09 | Facility | None | $125.89 | $125.89 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $100.00 | $100.00 | $125.89 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $51.29 | $51.29 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $48.98 | $63.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $131.83 | $141.25 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $288.40 Typical High $489.78 | Facility | None | $107.15 | $288.40 | $489.78 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $107.15 | $125.89 | $125.89 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,513.56 | Facility | None | $616.60 | $1,318.26 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $104.71 | $138.04 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $74.13 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $64.57 | $93.33 |
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 $50.12 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $19.95 | $25.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $50.12 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $19.95 | $25.12 |
Where Pennsylvania sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 43rd of 51
$115
MN $269UT $70.79
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.