How much rates vary
Facilitymedian $525 · 10th to 90th $186 to $1,862Professionalmedian $174 · 10th to 90th $141 to $288
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 $144.54 Median $186.21 Typical High $1,412.54 | Facility | None | $144.54 | $186.21 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $144.54 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $33.88 | $40.74 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $151.36 | Professional | TC · Technical part | $109.65 | $131.83 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $120.23 | $288.40 | $288.40 |
AmeriHealth Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $1,698.24 | Facility | None | $302.00 | $562.34 | $1,698.24 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $144.54 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $144.54 | $245.47 | $295.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $60.26 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $288.40 Typical High $354.81 | Facility | None | $151.36 | $288.40 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $138.04 | $158.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $120.23 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $199.53 | $239.88 | $275.42 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $407.38 Typical High $1,548.82 | Facility | None | $114.82 | $407.38 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $123.03 | $158.49 | $269.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $44.67 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $123.03 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $1,348.96 Typical High $2,570.40 | Facility | None | $288.40 | $1,348.96 | $2,570.40 |
Independence Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,584.89 | Facility | None | $380.19 | $616.60 | $1,584.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $338.84 | Facility | None | $186.21 | $186.21 | $338.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $144.54 | $169.82 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $39.81 | $45.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $112.20 | $128.82 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $58.88 | $158.49 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $346.74 | Facility | None | $141.25 | $204.17 | $346.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $141.25 | $147.91 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $35.48 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $97.72 | $112.20 | $112.20 |
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 $128.82 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $128.82 | $186.21 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $45.71 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $141.25 | $218.78 |
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 $72.44 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $33.11 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $81.28 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $33.11 | $37.15 |
Where Pennsylvania sits
The same service costs 3.0 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· 31st of 51
$178
AK $380UT $129
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.