How much rates vary
Facilitymedian $437 · 10th to 90th $28 to $5,012Professionalmedian $32 · 10th to 90th $22 to $87
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 $22.91 Median $33.88 Typical High $575.44 | Facility | None | $22.91 | $33.88 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $2.88 Median $4.07 Typical High $6.17 | Facility | 26 · Professional part | $2.88 | $4.07 | $6.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $37.15 | Facility | TC · Technical part | $19.05 | $24.55 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | None (both parts) | $21.88 | $28.18 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.39 Typical High $5.25 | Professional | 26 · Professional part | $2.88 | $3.39 | $5.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $24.55 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $10.00 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $10.00 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $5.25 Typical High $6.31 | Professional | 26 · Professional part | $3.31 | $5.25 | $6.31 |
AmeriHealth Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $14,125.38 | Facility | None | $436.52 | $776.25 | $14,125.38 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $208.93 | Professional | None (both parts) | $31.62 | $31.62 | $208.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $3.72 Typical High $4.79 | Professional | 26 · Professional part | $3.72 | $3.72 | $4.79 |
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 $21.88 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $21.88 | $38.90 | $60.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $5.25 Typical High $7.76 | Professional | 26 · Professional part | $3.02 | $5.25 | $7.76 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $33.88 | $52.48 |
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 $21.88 Median $32.36 Typical High $91.20 | Professional | None (both parts) | $21.88 | $32.36 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.89 Typical High $6.17 | Professional | 26 · Professional part | $2.95 | $3.89 | $6.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $81.28 | Professional | TC · Technical part | $18.62 | $28.84 | $81.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $35.48 | $51.29 | $74.13 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $173.78 Typical High $1,548.82 | Facility | None | $75.86 | $173.78 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $23.99 Median $39.81 Typical High $128.82 | Professional | None (both parts) | $23.99 | $39.81 | $128.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.37 Typical High $6.92 | Professional | 26 · Professional part | $3.39 | $4.37 | $6.92 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $125.89 | Professional | TC · Technical part | $20.42 | $33.88 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $758.58 | Facility | None | $275.42 | $371.54 | $758.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $29.51 | Professional | None (both parts) | $23.99 | $27.54 | $29.51 |
Independence Blue Cross Setting Facility Modifier None Typical Low $478.63 Median $870.96 Typical High $14,125.38 | Facility | None | $478.63 | $870.96 | $14,125.38 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $208.93 | Professional | None (both parts) | $31.62 | $33.11 | $208.93 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $3.72 Typical High $4.90 | Professional | 26 · Professional part | $3.63 | $3.72 | $4.90 |
Martin's Point Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $676.08 | Facility | None | $22.91 | $34.67 | $676.08 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $2.88 Median $4.47 Typical High $6.31 | Facility | 26 · Professional part | $2.88 | $4.47 | $6.31 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $45.71 | Facility | TC · Technical part | $19.05 | $26.92 | $45.71 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $21.88 | $28.18 | $44.67 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.39 Typical High $5.25 | Professional | 26 · Professional part | $2.88 | $3.39 | $5.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $24.55 | $40.74 |
Oscar Health Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,041.74 | Facility | None | $954.99 | $1,288.25 | $2,041.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $6.03 Median $36.31 Typical High $144.54 | Professional | None (both parts) | $6.03 | $36.31 | $144.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $22.39 Median $229.09 Typical High $398.11 | Facility | None | $22.39 | $229.09 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.91 Typical High $104.71 | Professional | None (both parts) | $22.39 | $22.91 | $104.71 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.09 Typical High $5.62 | Professional | 26 · Professional part | $3.02 | $3.09 | $5.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $100.00 | Professional | TC · Technical part | $19.50 | $19.50 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $114.82 | Professional | None (both parts) | $23.99 | $33.88 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $4.17 Typical High $6.17 | Professional | 26 · Professional part | $3.02 | $4.17 | $6.17 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $93.33 | Professional | TC · Technical part | $20.42 | $29.51 | $93.33 |
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 $10.96 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $10.96 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $4.37 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $10.96 | $13.18 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $5.62 | Professional | 53 · Discontinued | $4.37 | $5.25 | $5.62 |
Where Pennsylvania sits
The same service costs 2.9 times more in Kansas 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· 36th of 51
$32.36
KS $74.13MD $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.