How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,413 to $9,772Professionalmedian $1,072 · 10th to 90th $832 to $1,738
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 $1,096.48 Median $6,606.93 Typical High $11,748.98 | Facility | None | $1,096.48 | $6,606.93 | $11,748.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $870.96 | $977.24 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $218.78 | $257.04 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | TC · Technical part | $645.65 | $724.44 | $831.76 |
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 $831.76 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $831.76 | $1,412.54 | $1,819.70 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $398.11 Typical High $588.84 | Professional | 26 · Professional part | $229.09 | $398.11 | $588.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,047.13 Typical High $1,258.93 | Professional | TC · Technical part | $602.56 | $1,047.13 | $1,258.93 |
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 $831.76 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $302.00 Typical High $467.74 | Professional | 26 · Professional part | $223.87 | $302.00 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $724.44 Typical High $1,318.26 | Professional | TC · Technical part | $602.56 | $724.44 | $1,318.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,513.56 |
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 $851.14 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $851.14 | $1,174.90 | $1,819.70 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $331.13 Typical High $524.81 | Professional | 26 · Professional part | $251.19 | $331.13 | $524.81 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $851.14 Typical High $1,318.26 | Professional | TC · Technical part | $602.56 | $851.14 | $1,318.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $10,715.19 | Facility | None | $7,079.46 | $7,079.46 | $10,715.19 |
Martin's Point Setting Facility Modifier None Typical Low $1,096.48 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,096.48 | $6,165.95 | $12,589.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,513.56 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,513.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $218.78 | $257.04 | $295.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | TC · Technical part | $645.65 | $724.44 | $831.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None (both parts) | $977.24 | $977.24 | $1,047.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $758.58 Median $3,019.95 Typical High $5,128.61 | Facility | None | $758.58 | $3,019.95 | $5,128.61 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $758.58 Median $851.14 Typical High $870.96 | Professional | None (both parts) | $758.58 | $851.14 | $870.96 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $234.42 Typical High $245.47 | Professional | 26 · Professional part | $223.87 | $234.42 | $245.47 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $524.81 | $630.96 | $630.96 |
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 $891.25 Median $1,230.27 Typical High $1,862.09 | Professional | None (both parts) | $891.25 | $1,230.27 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $331.13 Typical High $489.78 | Professional | 26 · Professional part | $239.88 | $331.13 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $870.96 Typical High $1,288.25 | Professional | TC · Technical part | $645.65 | $870.96 | $1,288.25 |
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 $645.65 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $724.44 | $831.76 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $724.44 | $831.76 |
Where Pennsylvania sits
The same service costs 4.2 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· 31st of 51
$1,349
WI $3,631NY $871
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.