How much rates vary
Facilitymedian $78 · 10th to 90th $46 to $4,266Professionalmedian $71 · 10th to 90th $66 to $115
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 $66.07 Median $83.18 Typical High $1,862.09 | Facility | None | $66.07 | $83.18 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $66.07 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $38.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $30.90 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $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 (both parts) Typical Low $67.61 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $67.61 | $70.79 | $117.49 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $36.31 | $75.86 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $33.88 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $112.20 | Professional | None (both parts) | $63.10 | $66.07 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $41.69 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $31.62 | $48.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $85.11 | $107.15 | $123.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $63.10 | $85.11 | $141.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $45.71 | $91.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.02 Typical High $58.88 | Professional | TC · Technical part | $22.39 | $38.02 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $58.88 Median $104.71 Typical High $213.80 | Facility | None | $58.88 | $104.71 | $213.80 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $47.86 | $61.66 |
Martin's Point Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $1,862.09 | Facility | None | $83.18 | $83.18 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $66.07 | $66.07 | $83.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $34.67 | $37.15 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $32.36 | $41.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $67.61 | $67.61 | $79.43 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $77.62 | Facility | None | $42.66 | $66.07 | $77.62 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $66.07 | $66.07 | $67.61 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $42.66 | $42.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $22.91 | $22.91 | $33.11 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $63.10 | $79.43 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $47.86 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $33.88 | $51.29 |
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 $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska 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· 40th of 51
$70.79
AK $162UT $48.98
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.