How much rates vary
Facilitymedian $501 · 10th to 90th $224 to $2,188Professionalmedian $282 · 10th to 90th $214 to $537
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 $213.80 Median $1,000.00 Typical High $1,862.09 | Facility | None | $213.80 | $1,000.00 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $213.80 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $93.33 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $169.82 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $104.71 | $173.78 | $173.78 |
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 $218.78 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $218.78 | $371.54 | $549.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $87.10 | $151.36 | $204.17 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $223.87 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $213.80 | $281.84 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $85.11 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $199.53 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $407.38 | Professional | None (both parts) | $302.00 | $363.08 | $407.38 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $1,548.82 | Facility | None | $229.09 | $229.09 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $218.78 | $275.42 | $478.63 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $95.50 | $151.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $181.97 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $616.60 | Facility | None | $309.03 | $489.78 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $912.01 Typical High $1,862.09 | Facility | None | $269.15 | $912.01 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $213.80 | $269.15 | $363.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $91.20 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $169.82 | $281.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $131.83 | $257.04 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $691.83 | Facility | None | $218.78 | $407.38 | $691.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $218.78 | $223.87 | $331.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $74.13 | $85.11 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $134.90 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $213.80 | $295.12 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $109.65 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $186.21 | $281.84 |
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 $107.15 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $131.83 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $52.48 | $53.70 |
Where Pennsylvania sits
The same service costs 4.7 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· 36th of 51
$282
AK $589UT $126
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.