How much rates vary
Facilitymedian $62 · 10th to 90th $25 to $4,266Professionalmedian $59 · 10th to 90th $25 to $60
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 $24.55 Median $29.51 Typical High $1,412.54 | Facility | None | $24.55 | $29.51 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $45.71 | Professional | None (both parts) | $24.55 | $27.54 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $10.72 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $23.99 | Professional | TC · Technical part | $14.45 | $16.22 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $112.20 | Professional | None (both parts) | $58.88 | $91.20 | $112.20 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $72,443.60 Median $72,443.60 Typical High $72,443.60 | Facility | TC · Technical part | $72,443.60 | $72,443.60 | $72,443.60 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $63.10 | $63.10 | $67.61 |
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 $48.98 Median $58.88 Typical High $60.26 | Professional | None (both parts) | $48.98 | $58.88 | $60.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $26.92 | $35.48 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $27.54 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $41.69 | $63.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $74.13 | $93.33 | $107.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $27.54 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $27.54 | $63.10 | $102.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $23.99 | $33.88 | $75.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $107.15 | Professional | TC · Technical part | $33.11 | $46.77 | $107.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Facility | None | $100.00 | $100.00 | $131.83 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $85.11 Typical High $131,825.67 | Facility | TC · Technical part | $38.02 | $85.11 | $131,825.67 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $45.71 | $63.10 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $24.55 Median $54.95 Typical High $1,862.09 | Facility | None | $24.55 | $54.95 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.30 Typical High $38.90 | Professional | None (both parts) | $24.55 | $26.30 | $38.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $12.59 | Professional | 26 · Professional part | $10.23 | $10.23 | $12.59 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $19.05 | Professional | TC · Technical part | $14.45 | $16.22 | $19.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $28.84 | $53.70 | $70.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $43.65 Typical High $70.79 | Facility | None | $25.12 | $43.65 | $70.79 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
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 $22.91 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $22.91 | $27.54 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $36.31 | $61.66 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $57.54 | $57.54 | $57.54 |
Where Pennsylvania sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 20th of 51
$58.88
MN $129KY $27.54
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.