How much rates vary
Facilitymedian $1,148 · 10th to 90th $282 to $2,512Professionalmedian $240 · 10th to 90th $186 to $417
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 $204.17 Median $954.99 Typical High $1,412.54 | Facility | None | $204.17 | $954.99 | $1,412.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $123.03 | Facility | 26 · Professional part | $64.57 | $83.18 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $2,041.74 | Facility | TC · Technical part | $117.49 | $173.78 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $181.97 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $77.62 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $154.88 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $147.91 | $162.18 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $67.61 | $114.82 |
AmeriHealth Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $12,302.69 | Facility | None | $1,000.00 | $1,778.28 | $12,302.69 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $1,000.00 Median $1,778.28 Typical High $4,897.79 | Facility | TC · Technical part | $1,000.00 | $1,778.28 | $4,897.79 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $204.17 | $257.04 | $302.00 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $97.72 | Professional | 26 · Professional part | $81.28 | $85.11 | $97.72 |
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 $186.21 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $186.21 | $275.42 | $426.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $97.72 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $177.83 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $371.54 | Facility | None | $162.18 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $186.21 | $257.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $177.83 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $257.04 | $309.03 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $186.21 | $257.04 | $371.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $77.62 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $165.96 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $2,041.74 | Facility | None | $616.60 | $1,230.27 | $2,041.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,819.70 Typical High $2,630.27 | Facility | TC · Technical part | $831.76 | $1,819.70 | $2,630.27 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $77.62 | $154.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $933.25 Median $1,905.46 Typical High $11,220.18 | Facility | None | $933.25 | $1,905.46 | $11,220.18 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $776.25 Median $1,862.09 Typical High $3,235.94 | Facility | TC · Technical part | $776.25 | $1,862.09 | $3,235.94 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $204.17 | $257.04 | $302.00 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $85.11 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $954.99 Typical High $1,380.38 | Facility | None | $194.98 | $954.99 | $1,380.38 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $125.89 | Facility | 26 · Professional part | $64.57 | $79.43 | $125.89 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $1,621.81 | Facility | TC · Technical part | $117.49 | $173.78 | $1,621.81 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $181.97 | $234.42 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $77.62 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $154.88 | $223.87 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,174.90 | Facility | None | $812.83 | $1,122.02 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $117.49 | $229.09 | $426.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $776.25 Typical High $1,230.27 | Facility | None | $190.55 | $776.25 | $1,230.27 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $190.55 | $190.55 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $66.07 | $67.61 | $74.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $123.03 | $229.09 |
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 $199.53 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $199.53 | $269.15 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $89.13 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $186.21 | $263.03 |
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 Facility Modifier PN · Off-campus dept, non-excepted Typical Low $181.97 Median $691.83 Typical High $1,348.96 | Facility | PN · Off-campus dept, non-excepted | $181.97 | $691.83 | $1,348.96 |
Where Pennsylvania sits
The same service costs 6.3 times more in Minnesota 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· 32nd of 51
$257
MN $759UT $120
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.