How much rates vary
Facilitymedian $776 · 10th to 90th $251 to $8,710Professionalmedian $251 · 10th to 90th $200 to $437
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 $251.19 Median $3,801.89 Typical High $8,511.38 | Facility | None | $251.19 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $199.53 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $169.82 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $48.98 | $60.26 | $64.57 |
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 $223.87 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $223.87 | $251.19 | $436.52 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $245.47 Typical High $316.23 | Professional | 26 · Professional part | $158.49 | $245.47 | $316.23 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $66.07 | $112.20 |
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 $199.53 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $199.53 | $239.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $323.59 | Professional | 26 · Professional part | $151.36 | $186.21 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $61.66 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $10,964.78 | Professional | None (both parts) | $389.05 | $389.05 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $223.87 | $229.09 | $588.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $223.87 Typical High $363.08 | Professional | 26 · Professional part | $165.96 | $223.87 | $363.08 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $53.70 | $138.04 |
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 $199.53 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $199.53 | $239.88 | $251.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $151.36 | $173.78 | $186.21 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $48.98 | $60.26 | $64.57 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $275.42 | $275.42 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $891.25 | Facility | None | $194.98 | $512.86 | $891.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $194.98 | $223.87 | $251.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 26 · Professional part | $154.88 | $154.88 | $158.49 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | TC · Technical part | $61.66 | $61.66 | $63.10 |
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 $229.09 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $229.09 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $218.78 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $218.78 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $83.18 | $141.25 |
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 $100.00 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $45.71 | $50.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $112.20 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $45.71 | $50.12 |
Where Pennsylvania sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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
$251
LA $1,288AL $219
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.