How much rates vary
Facilitymedian $724 · 10th to 90th $186 to $8,511Professionalmedian $182 · 10th to 90th $148 to $316
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 $3,801.89 Typical High $8,511.38 | Facility | None | $186.21 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $147.91 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $48.98 | $52.48 |
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 $165.96 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $165.96 | $181.97 | $316.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $173.78 | $223.87 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $46.77 | $52.48 | $89.13 |
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 $147.91 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $147.91 | $177.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $107.15 | $131.83 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $50.12 | $85.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $10,964.78 | Professional | None (both parts) | $288.40 | $288.40 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $162.18 | $165.96 | $436.52 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $154.88 | $257.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $43.65 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $147.91 | $177.83 | $186.21 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $123.03 | $131.83 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $51.29 | $52.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $204.17 | $204.17 | $354.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $588.84 | Facility | None | $144.54 | $338.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $144.54 | $162.18 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $109.65 | $109.65 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | TC · Technical part | $48.98 | $48.98 | $51.29 |
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 $165.96 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $165.96 | $234.42 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $154.88 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $67.61 | $114.82 |
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 $74.13 Median $83.18 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $33.11 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $83.18 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $33.11 | $37.15 |
Where Pennsylvania sits
The same service costs 8.3 times more in Louisiana 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· 44th of 51
$186
LA $1,288HI $155
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.