How much rates vary
Facilitymedian $151 · 10th to 90th $33 to $1,413Professionalmedian $32 · 10th to 90th $26 to $58
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 $26.30 Median $33.11 Typical High $1,862.09 | Facility | None | $26.30 | $33.11 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | None (both parts) | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.49 Typical High $19.50 | Professional | TC · Technical part | $14.79 | $15.49 | $19.50 |
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 $30.90 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $30.90 | $31.62 | $56.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $12.88 | $23.44 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.05 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $19.05 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $45.71 Typical High $54.95 | Facility | None | $20.42 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $30.20 | $37.15 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $13.18 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $22.91 | $38.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $40.74 | $51.29 | $58.88 |
Geisinger Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $32.36 | $52.48 | $100.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $16.60 | $28.84 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $19.95 | $32.36 | $64.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $1,348.96 | Facility | None | $85.11 | $128.82 | $1,348.96 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $1,862.09 | Facility | None | $33.11 | $33.11 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | None (both parts) | $26.30 | $26.30 | $33.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | 26 · Professional part | $11.48 | $11.48 | $13.80 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $19.50 | Professional | TC · Technical part | $14.79 | $14.79 | $19.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $37.15 | $75.86 | $91.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $162.18 Typical High $275.42 | Facility | None | $27.54 | $162.18 | $275.42 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $27.54 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $27.54 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $12.02 | $19.05 | $19.05 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $15.85 | $40.74 | $40.74 |
United Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $199.53 | Facility | None | $81.28 | $173.78 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $29.51 | $40.74 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $15.85 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $16.60 | $23.99 | $38.02 |
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 $13.18 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.61 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.60 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.61 |
Where Pennsylvania sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 45th of 51
$31.62
MN $74.13AL $28.18
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.