How much rates vary
Facilitymedian $871 · 10th to 90th $263 to $2,951Professionalmedian $263 · 10th to 90th $204 to $447
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 $257.04 Median $275.42 Typical High $1,862.09 | Facility | None | $257.04 | $275.42 | $1,862.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $275.42 | Facility | TC · Technical part | $181.97 | $194.98 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $275.42 | Professional | None (both parts) | $204.17 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $69.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $181.97 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $169.82 | $169.82 | $223.87 |
AmeriHealth Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $4,168.69 | Facility | None | $602.56 | $1,071.52 | $4,168.69 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $263.03 | $295.12 | $371.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $75.86 | $131.83 |
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 $208.93 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $208.93 | $371.54 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $104.71 | $158.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $524.81 | Facility | None | $204.17 | $380.19 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $204.17 | $245.47 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $69.18 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $173.78 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $281.84 | $346.74 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $741.31 Typical High $1,548.82 | Facility | None | $229.09 | $741.31 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $204.17 | $245.47 | $436.52 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $75.86 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $173.78 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $2,570.40 | Facility | None | $524.81 | $1,659.59 | $2,570.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Independence Blue Cross Setting Facility Modifier None Typical Low $616.60 Median $1,122.02 Typical High $3,801.89 | Facility | None | $616.60 | $1,122.02 | $3,801.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $295.12 | $295.12 | $371.54 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $75.86 | $89.13 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $2,187.76 | Facility | None | $263.03 | $316.23 | $2,187.76 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $204.17 | $257.04 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $69.18 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $181.97 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $104.71 | $275.42 | $478.63 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $676.08 | Facility | None | $208.93 | $398.11 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $208.93 | $213.80 | $257.04 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $61.66 | $79.43 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $154.88 | $173.78 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $208.93 | $269.15 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $79.43 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $194.98 | $302.00 |
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 $102.33 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $47.86 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $117.49 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $46.77 | $52.48 |
Where Pennsylvania sits
The same service costs 3.5 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· 29th of 51
$263
AK $562UT $158
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.