How much rates vary
Facilitymedian $776 · 10th to 90th $257 to $8,710Professionalmedian $257 · 10th to 90th $209 to $447
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 $257.04 Median $3,801.89 Typical High $8,511.38 | Facility | None | $257.04 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $257.04 | Professional | None (both parts) | $208.93 | $251.19 | $257.04 |
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 $56.23 Median $69.18 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $69.18 | $74.13 |
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 $234.42 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $234.42 | $257.04 | $446.68 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $239.88 | $316.23 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $77.62 | $131.83 |
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 $204.17 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $204.17 | $251.19 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $316.23 | Professional | 26 · Professional part | $151.36 | $181.97 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $70.79 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $10,964.78 | Professional | None (both parts) | $407.38 | $407.38 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $234.42 | $239.88 | $616.60 |
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 $61.66 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $63.10 | $165.96 |
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 $208.93 Median $251.19 Typical High $257.04 | Professional | None (both parts) | $208.93 | $251.19 | $257.04 |
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 $56.23 Median $72.44 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $72.44 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $288.40 | $288.40 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $524.81 Typical High $912.01 | Facility | None | $204.17 | $524.81 | $912.01 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $204.17 | $234.42 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $72.44 | $72.44 | $75.86 |
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 $234.42 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $234.42 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $331.13 | Professional | 26 · Professional part | $165.96 | $213.80 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $100.00 | $165.96 |
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 $102.33 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $46.77 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $117.49 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $46.77 | $51.29 |
Where Pennsylvania sits
The same service costs 5.8 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
$263
LA $1,288AL $224
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.