How much rates vary
Facilitymedian $1,047 · 10th to 90th $219 to $2,042Professionalmedian $219 · 10th to 90th $174 to $437
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 $218.78 Median $977.24 Typical High $1,412.54 | Facility | None | $218.78 | $977.24 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $173.78 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $141.25 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $66.07 | $83.18 | $97.72 |
AmeriHealth Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $7,079.46 | Facility | None | $1,202.26 | $1,202.26 | $7,079.46 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $239.88 | $251.19 | $426.58 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $85.11 | $109.65 |
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 $177.83 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $177.83 | $302.00 | $457.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $117.49 | $173.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $316.23 | Professional | TC · Technical part | $109.65 | $162.18 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $354.81 | Facility | None | $151.36 | $281.84 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $173.78 | $204.17 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $128.82 | $223.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $123.03 | $218.78 | $316.23 |
Geisinger Setting Facility Modifier None Typical Low $107.15 Median $794.33 Typical High $1,548.82 | Facility | None | $107.15 | $794.33 | $1,548.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $158.49 | $208.93 | $371.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $87.10 | $134.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $125.89 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,238.72 | Facility | None | $724.44 | $1,479.11 | $2,238.72 |
Independence Blue Cross Setting Facility Modifier None Typical Low $616.60 Median $1,047.13 Typical High $7,943.28 | Facility | None | $616.60 | $1,047.13 | $7,943.28 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $239.88 | $239.88 | $309.03 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $85.11 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $977.24 Typical High $1,380.38 | Facility | None | $218.78 | $977.24 | $1,380.38 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $173.78 | $218.78 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $141.25 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $107.15 | $190.55 | $407.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $416.87 Typical High $724.44 | Facility | None | $177.83 | $416.87 | $724.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $177.83 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $177.83 | $181.97 | $213.80 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $66.07 | $67.61 | $83.18 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $112.20 | $114.82 | $131.83 |
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 $158.49 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $158.49 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $144.54 | $218.78 |
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 $87.10 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $42.66 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $104.71 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $41.69 | $43.65 |
Where Pennsylvania sits
The same service costs 3.9 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· 34th of 51
$219
AK $468UT $120
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.