How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,413 to $9,772Professionalmedian $1,413 · 10th to 90th $1,047 to $2,291
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 $1,412.54 Median $6,456.54 Typical High $11,748.98 | Facility | None | $1,412.54 | $6,456.54 | $11,748.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,380.38 Typical High $2,089.30 | Professional | None (both parts) | $1,096.48 | $1,380.38 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $389.05 | Professional | 26 · Professional part | $288.40 | $338.84 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $912.01 | $1,047.13 |
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 $1,047.13 Median $1,778.28 Typical High $2,398.83 | Professional | None (both parts) | $1,047.13 | $1,778.28 | $2,398.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $537.03 Typical High $758.58 | Professional | 26 · Professional part | $309.03 | $537.03 | $758.58 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,288.25 Typical High $1,659.59 | Professional | TC · Technical part | $741.31 | $1,288.25 | $1,659.59 |
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 $1,047.13 Median $1,288.25 Typical High $2,290.87 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $295.12 | $398.11 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $1,659.59 | Professional | TC · Technical part | $758.58 | $933.25 | $1,659.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,905.46 |
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 $1,096.48 Median $1,513.56 Typical High $2,344.23 | Professional | None (both parts) | $1,096.48 | $1,513.56 | $2,344.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $446.68 Typical High $691.83 | Professional | 26 · Professional part | $338.84 | $446.68 | $691.83 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,071.52 Typical High $1,659.59 | Professional | TC · Technical part | $776.25 | $1,071.52 | $1,659.59 |
Martin's Point Setting Facility Modifier None Typical Low $1,412.54 Median $6,025.60 Typical High $12,302.69 | Facility | None | $1,412.54 | $6,025.60 | $12,302.69 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,380.38 Typical High $2,041.74 | Professional | None (both parts) | $1,096.48 | $1,380.38 | $2,041.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $346.74 Typical High $389.05 | Professional | 26 · Professional part | $288.40 | $346.74 | $389.05 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $977.24 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $977.24 | $1,047.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,348.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,000.00 Median $4,265.80 Typical High $7,413.10 | Facility | None | $1,000.00 | $4,265.80 | $7,413.10 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,096.48 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,096.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $302.00 | $316.23 | $316.23 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $691.83 | $794.33 | $794.33 |
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 $1,148.15 Median $1,584.89 Typical High $2,398.83 | Professional | None (both parts) | $1,148.15 | $1,584.89 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $446.68 Typical High $660.69 | Professional | 26 · Professional part | $323.59 | $446.68 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,122.02 Typical High $1,659.59 | Professional | TC · Technical part | $812.83 | $1,122.02 | $1,659.59 |
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 $812.83 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $933.25 | $1,047.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $933.25 | $1,047.13 |
Where Pennsylvania sits
The same service costs 4.0 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· 32nd of 51
$1,622
WI $4,467NY $1,122
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.