How much rates vary
Facilitymedian $407 · 10th to 90th $204 to $5,012Professionalmedian $398 · 10th to 90th $166 to $759
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 $162.18 Median $204.17 Typical High $1,862.09 | Facility | None | $162.18 | $204.17 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $162.18 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $100.00 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $102.33 | $107.15 |
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 $354.81 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $354.81 | $446.68 | $812.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $123.03 | $208.93 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $338.84 | $602.56 |
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 $162.18 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $162.18 | $204.17 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $102.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $102.33 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $323.59 | $363.08 | $457.09 |
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 $234.42 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $234.42 | $316.23 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $109.65 | $177.83 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $218.78 | $371.54 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $1,862.09 | Facility | None | $204.17 | $204.17 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $162.18 | $199.53 | $208.93 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $100.00 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $102.33 | $107.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $93.33 | $302.00 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $660.69 | Facility | None | $309.03 | $407.38 | $660.69 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $87.10 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | TC · Technical part | $295.12 | $295.12 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $263.03 | $446.68 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $112.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $165.96 | $354.81 | $588.84 |
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 $81.28 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $39.81 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $95.50 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $38.02 | $40.74 |
Where Pennsylvania sits
The same service costs 3.1 times more in Alaska than in New York. 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· 8th of 51
$407
AK $537NY $174
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.