How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,202 to $10,471Professionalmedian $1,000 · 10th to 90th $794 to $1,622
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 $831.76 Median $2,570.40 Typical High $10,000.00 | Facility | None | $831.76 | $2,570.40 | $10,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $223.87 | Facility | 26 · Professional part | $120.23 | $154.88 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,148.15 | Facility | TC · Technical part | $707.95 | $912.01 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $977.24 Typical High $1,479.11 | Professional | None (both parts) | $831.76 | $977.24 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $120.23 | $147.91 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $812.83 Typical High $1,071.52 | Professional | TC · Technical part | $707.95 | $812.83 | $1,071.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | 26 · Professional part | $218.78 | $218.78 | $251.19 |
AmeriHealth Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $23,988.33 | Facility | None | $5,011.87 | $7,585.78 | $23,988.33 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 26 · Professional part | $134.90 | $134.90 | $144.54 |
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 $776.25 Median $1,318.26 Typical High $1,659.59 | Professional | None (both parts) | $776.25 | $1,318.26 | $1,659.59 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $218.78 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $218.78 | $323.59 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,071.52 Typical High $1,318.26 | Professional | TC · Technical part | $660.69 | $1,071.52 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $4,365.16 | Facility | None | $1,659.59 | $2,344.23 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,737.80 | Professional | None (both parts) | $794.33 | $933.25 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $123.03 | $173.78 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,445.44 | Professional | TC · Technical part | $645.65 | $758.58 | $1,445.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,479.11 |
Geisinger Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,715.35 | Facility | None | $1,659.59 | $2,089.30 | $3,715.35 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $794.33 | $1,122.02 | $1,737.80 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $186.21 Typical High $302.00 | Professional | 26 · Professional part | $138.04 | $186.21 | $302.00 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $630.96 | $954.99 | $1,412.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $7,585.78 Typical High $15,135.61 | Facility | None | $3,981.07 | $7,585.78 | $15,135.61 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $22,908.68 | Facility | None | $4,786.30 | $7,244.36 | $22,908.68 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | 26 · Professional part | $134.90 | $134.90 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $2,630.27 Typical High $10,000.00 | Facility | None | $831.76 | $2,630.27 | $10,000.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $831.76 Median $977.24 Typical High $1,513.56 | Professional | None (both parts) | $831.76 | $977.24 | $1,513.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $147.91 | $199.53 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $812.83 Typical High $1,148.15 | Professional | TC · Technical part | $707.95 | $812.83 | $1,148.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | None (both parts) | $891.25 | $891.25 | $954.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $691.83 Median $2,691.53 Typical High $4,265.80 | Facility | None | $691.83 | $2,691.53 | $4,265.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $691.83 Median $812.83 Typical High $831.76 | Professional | None (both parts) | $691.83 | $812.83 | $831.76 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $138.04 | Professional | 26 · Professional part | $125.89 | $131.83 | $138.04 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $691.83 Typical High $707.95 | Professional | TC · Technical part | $549.54 | $691.83 | $707.95 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $7,244.36 | Facility | None | $1,380.38 | $2,398.83 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,096.48 Typical High $1,698.24 | Professional | None (both parts) | $812.83 | $1,096.48 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $275.42 | Professional | 26 · Professional part | $134.90 | $186.21 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $912.01 Typical High $1,348.96 | Professional | TC · Technical part | $676.08 | $912.01 | $1,348.96 |
2 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 54 · Surgery only Typical Low $616.60 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $660.69 | $794.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $660.69 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $660.69 | $794.33 |
Where Pennsylvania sits
The same service costs 4.3 times more in Wisconsin 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· 28th of 51
$1,318
WI $3,467NY $813
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.