How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,380 to $10,000Professionalmedian $1,349 · 10th to 90th $1,047 to $2,239
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 $1,258.93 Median $5,495.41 Typical High $10,964.78 | Facility | None | $1,258.93 | $5,495.41 | $10,964.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $323.59 Median $416.87 Typical High $588.84 | Facility | 26 · Professional part | $323.59 | $416.87 | $588.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $977.24 Typical High $1,348.96 | Facility | TC · Technical part | $794.33 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,318.26 Typical High $2,041.74 | Professional | None (both parts) | $1,071.52 | $1,318.26 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $380.19 Typical High $489.78 | Professional | 26 · Professional part | $309.03 | $380.19 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $954.99 Typical High $1,318.26 | Professional | TC · Technical part | $758.58 | $954.99 | $1,318.26 |
AmeriHealth Setting Facility Modifier None Typical Low $41,686.94 Median $41,686.94 Typical High $41,686.94 | Facility | None | $41,686.94 | $41,686.94 | $41,686.94 |
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 $1,023.29 Median $1,819.70 Typical High $2,511.89 | Professional | None (both parts) | $1,023.29 | $1,819.70 | $2,511.89 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $562.34 Typical High $812.83 | Professional | 26 · Professional part | $323.59 | $562.34 | $812.83 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,230.27 Typical High $1,737.80 | Professional | TC · Technical part | $707.95 | $1,230.27 | $1,737.80 |
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 $1,348.96 Typical High $2,238.72 | Professional | None (both parts) | $1,047.13 | $1,348.96 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $660.69 | Professional | 26 · Professional part | $316.23 | $416.87 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $724.44 | $933.25 | $1,548.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,862.09 |
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 $1,122.02 Median $1,513.56 Typical High $2,454.71 | Professional | None (both parts) | $1,122.02 | $1,513.56 | $2,454.71 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $724.44 | Professional | 26 · Professional part | $354.81 | $467.74 | $724.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,047.13 Typical High $1,737.80 | Professional | TC · Technical part | $776.25 | $1,047.13 | $1,737.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $7,762.47 Typical High $14,454.40 | Facility | None | $4,466.84 | $7,762.47 | $14,454.40 |
Independence Blue Cross Setting Facility Modifier None Typical Low $38,018.94 Median $41,686.94 Typical High $53,703.18 | Facility | None | $38,018.94 | $41,686.94 | $53,703.18 |
Martin's Point Setting Facility Modifier None Typical Low $1,348.96 Median $5,248.07 Typical High $11,748.98 | Facility | None | $1,348.96 | $5,248.07 | $11,748.98 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,318.26 Typical High $2,089.30 | Professional | None (both parts) | $1,071.52 | $1,318.26 | $2,089.30 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $380.19 Typical High $501.19 | Professional | 26 · Professional part | $309.03 | $380.19 | $501.19 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $954.99 Typical High $1,318.26 | Professional | TC · Technical part | $758.58 | $954.99 | $1,318.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,445.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,047.13 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,047.13 | $4,897.79 | $7,762.47 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $331.13 Typical High $338.84 | Professional | 26 · Professional part | $323.59 | $331.13 | $338.84 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $741.31 Typical High $758.58 | Professional | TC · Technical part | $724.44 | $741.31 | $758.58 |
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 $1,122.02 Median $1,584.89 Typical High $2,398.83 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $467.74 Typical High $707.95 | Professional | 26 · Professional part | $346.74 | $467.74 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,096.48 Typical High $1,698.24 | Professional | TC · Technical part | $794.33 | $1,096.48 | $1,698.24 |
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 $794.33 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $891.25 | $1,023.29 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $891.25 | $1,023.29 |
Where Pennsylvania sits
The same service costs 3.8 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· 30th of 51
$1,622
WI $4,467NY $1,175
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.