How much rates vary
Facilitymedian $603 · 10th to 90th $295 to $2,455Professionalmedian $617 · 10th to 90th $302 to $832
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 $208.93 Median $602.56 Typical High $1,862.09 | Facility | None | $208.93 | $602.56 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $467.74 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $141.25 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $562.34 Typical High $660.69 | Professional | TC · Technical part | $436.52 | $562.34 | $660.69 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
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 $549.54 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $549.54 | $691.83 | $1,023.29 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $275.42 | Professional | 26 · Professional part | $123.03 | $177.83 | $275.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $562.34 Typical High $724.44 | Professional | TC · Technical part | $446.68 | $562.34 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $354.81 | Facility | None | $154.88 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $234.42 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $147.91 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $114.82 | $162.18 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $380.19 | $501.19 | $1,071.52 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $1,548.82 | Facility | None | $229.09 | $338.84 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $288.40 | $389.05 | $812.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $257.04 | Professional | 26 · Professional part | $128.82 | $158.49 | $257.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $134.90 | $239.88 | $537.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $3,019.95 | Facility | None | $1,000.00 | $2,454.71 | $3,019.95 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $602.56 Typical High $1,862.09 | Facility | None | $208.93 | $602.56 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $467.74 | $602.56 | $707.95 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $141.25 | $169.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $562.34 Typical High $660.69 | Professional | TC · Technical part | $436.52 | $562.34 | $660.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $131.83 | $295.12 | $660.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $870.96 | Facility | None | $398.11 | $501.19 | $870.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $436.52 | $457.09 | $457.09 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $123.03 | $125.89 | $169.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | TC · Technical part | $281.84 | $281.84 | $316.23 |
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 $323.59 Median $660.69 Typical High $1,096.48 | Professional | None (both parts) | $323.59 | $660.69 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $165.96 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $169.82 | $524.81 | $851.14 |
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 $234.42 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $104.71 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $263.03 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $104.71 | $120.23 |
Where Pennsylvania sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 14th of 51
$617
AK $1,000WA $324
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.