How much rates vary
Facilitymedian $933 · 10th to 90th $263 to $9,772Professionalmedian $224 · 10th to 90th $178 to $398
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 $5,754.40 Typical High $10,471.29 | Facility | None | $831.76 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $177.83 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $79.43 | $93.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $8,709.64 Median $47,863.01 Typical High $56,234.13 | Facility | None | $8,709.64 | $47,863.01 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $199.53 | $223.87 | $380.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $177.83 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $87.10 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $501.19 Typical High $7,244.36 | Facility | None | $60.26 | $501.19 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $177.83 | $218.78 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $131.83 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $87.10 | $151.36 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $10,964.78 | Professional | None (both parts) | $363.08 | $363.08 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $524.81 | Professional | None (both parts) | $194.98 | $199.53 | $524.81 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $158.49 | $257.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $75.86 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,370.32 Typical High $10,964.78 | Facility | None | $1,023.29 | $5,370.32 | $10,964.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $177.83 | $218.78 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $123.03 | $134.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $79.43 | $93.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $251.19 | $251.19 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $478.63 Typical High $831.76 | Facility | None | $173.78 | $478.63 | $831.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $173.78 | $199.53 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $112.20 | $112.20 | $114.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | TC · Technical part | $83.18 | $83.18 | $85.11 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $9,549.93 | Facility | None | $416.87 | $724.44 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $199.53 | $281.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $158.49 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $120.23 | $194.98 |
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 $89.13 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $40.74 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $100.00 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $40.74 | $45.71 |
Where Pennsylvania sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 40th of 51
$251
OK $4,786HI $158
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.