How much rates vary
Facilitymedian $129 · 10th to 90th $30 to $5,012Professionalmedian $32 · 10th to 90th $23 to $63
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 $23.44 Median $32.36 Typical High $75.86 | Facility | None | $23.44 | $32.36 | $75.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $12.59 | Facility | 26 · Professional part | $6.76 | $8.91 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $33.11 | Facility | TC · Technical part | $16.98 | $22.91 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $39.81 | Professional | None (both parts) | $23.44 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $10.72 | Professional | 26 · Professional part | $6.76 | $8.13 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $21.88 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $19.95 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $14.13 | Professional | 26 · Professional part | $10.72 | $12.59 | $14.13 |
AmeriHealth Setting Facility Modifier None Typical Low $158.49 Median $16,595.87 Typical High $28,183.83 | Facility | None | $158.49 | $16,595.87 | $28,183.83 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $1,288.25 | Facility | TC · Technical part | $190.55 | $338.84 | $1,288.25 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | None (both parts) | $33.88 | $33.88 | $36.31 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $8.71 | $8.71 | $11.22 |
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 $23.99 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $23.99 | $41.69 | $64.57 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $12.02 | $18.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $29.51 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $29.51 | $45.71 |
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 $23.44 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $23.44 | $33.11 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $7.94 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $24.55 | $47.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $44.67 | Professional | None (both parts) | $33.11 | $39.81 | $44.67 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $120.23 Typical High $1,548.82 | Facility | None | $66.07 | $120.23 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $26.30 | $40.74 | $64.57 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $9.12 | $14.45 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $18.20 | $29.51 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $602.56 | Facility | None | $169.82 | $257.04 | $602.56 |
Independence Blue Cross Setting Facility Modifier None Typical Low $158.49 Median $16,595.87 Typical High $28,183.83 | Facility | None | $158.49 | $16,595.87 | $28,183.83 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $380.19 Typical High $1,288.25 | Facility | TC · Technical part | $204.17 | $380.19 | $1,288.25 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | None (both parts) | $33.88 | $33.88 | $36.31 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $8.32 | $8.71 | $11.22 |
Martin's Point Setting Facility Modifier None Typical Low $23.44 Median $36.31 Typical High $208.93 | Facility | None | $23.44 | $36.31 | $208.93 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $38.90 | Professional | None (both parts) | $23.44 | $30.20 | $38.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $10.72 | Professional | 26 · Professional part | $6.76 | $8.13 | $10.72 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $21.88 | $30.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $13.18 | $31.62 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.99 Median $134.90 Typical High $234.42 | Facility | None | $23.99 | $134.90 | $234.42 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $23.99 Median $24.55 Typical High $56.23 | Professional | None (both parts) | $23.99 | $24.55 | $56.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $7.08 | $17.38 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.38 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $17.38 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $25.70 | $36.31 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $9.55 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $26.30 | $42.66 |
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 $11.75 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $11.75 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.89 Typical High $6.03 | Professional | 53 · Discontinued | $4.68 | $5.89 | $6.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $11.75 | $13.80 | $14.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.62 Typical High $6.03 | Professional | 53 · Discontinued | $4.68 | $5.62 | $6.03 |
Where Pennsylvania sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 33rd of 51
$33.11
MN $69.18MD $25.70
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.