How much rates vary
Facilitymedian $263 · 10th to 90th $78 to $3,890Professionalmedian $288 · 10th to 90th $186 to $513
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 $186.21 Median $239.88 Typical High $1,412.54 | Facility | None | $186.21 | $239.88 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $186.21 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $81.28 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $154.88 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $112.20 | $112.20 | $158.49 |
AmeriHealth Setting Facility Modifier None Typical Low $7,413.10 Median $10,471.29 Typical High $27,542.29 | Facility | None | $7,413.10 | $10,471.29 | $27,542.29 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 26 · Professional part | $89.13 | $89.13 | $95.50 |
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 $269.15 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $269.15 | $302.00 | $562.34 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $70.79 | $123.03 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $218.78 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $190.55 | $295.12 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $104.71 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $120.23 | $199.53 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $371.54 | $371.54 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $269.15 | $275.42 | $616.60 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $128.82 | $213.80 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $177.83 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,348.96 Typical High $8,912.51 | Facility | None | $588.84 | $1,348.96 | $8,912.51 |
Independence Blue Cross Setting Facility Modifier None Typical Low $10,000.00 Median $10,471.29 Typical High $27,542.29 | Facility | None | $10,000.00 | $10,471.29 | $27,542.29 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 26 · Professional part | $89.13 | $89.13 | $95.50 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $436.52 | Facility | None | $194.98 | $239.88 | $436.52 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $186.21 | $239.88 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $81.28 | $138.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $154.88 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $331.13 | $331.13 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $831.76 | Facility | None | $245.47 | $478.63 | $831.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $245.47 | $251.19 | $275.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 26 · Professional part | $69.18 | $69.18 | $70.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $190.55 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $275.42 | $363.08 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $107.15 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $257.04 | $436.52 |
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 $93.33 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $43.65 | $47.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $104.71 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $41.69 | $47.86 |
Where Pennsylvania sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 33rd of 51
$288
WI $776OR $182
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.