How much rates vary
Facilitymedian $4,074 · 10th to 90th $891 to $10,471Professionalmedian $794 · 10th to 90th $617 to $1,380
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 $794.33 Median $5,495.41 Typical High $10,471.29 | Facility | None | $794.33 | $5,495.41 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $870.96 | Professional | None (both parts) | $616.60 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $446.68 | Professional | 26 · Professional part | $363.08 | $426.58 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $338.84 | $354.81 |
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 $707.95 Median $794.33 Typical High $1,380.38 | Professional | None (both parts) | $707.95 | $794.33 | $1,380.38 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $588.84 Typical High $776.25 | Professional | 26 · Professional part | $371.54 | $588.84 | $776.25 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $316.23 | $346.74 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,248.07 Typical High $7,943.28 | Facility | None | $812.83 | $5,248.07 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $776.25 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $446.68 Typical High $776.25 | Professional | 26 · Professional part | $363.08 | $446.68 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $346.74 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $10,964.78 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $707.95 Median $741.31 Typical High $1,905.46 | Professional | None (both parts) | $707.95 | $741.31 | $1,905.46 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $537.03 Typical High $912.01 | Professional | 26 · Professional part | $407.38 | $537.03 | $912.01 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $295.12 | $302.00 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $794.33 Median $5,248.07 Typical High $10,964.78 | Facility | None | $794.33 | $5,248.07 | $10,964.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $616.60 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $446.68 | Professional | 26 · Professional part | $363.08 | $426.58 | $446.68 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $338.84 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,621.81 | Professional | None (both parts) | $912.01 | $912.01 | $1,621.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $3,019.95 | Facility | None | $630.96 | $1,698.24 | $3,019.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $630.96 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $630.96 | $707.95 | $933.25 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 26 · Professional part | $371.54 | $371.54 | $380.19 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | TC · Technical part | $323.59 | $323.59 | $338.84 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $13,803.84 | Facility | None | $1,698.24 | $3,235.94 | $13,803.84 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,000.00 Typical High $1,659.59 | Professional | None (both parts) | $707.95 | $1,000.00 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $524.81 Typical High $794.33 | Professional | 26 · Professional part | $398.11 | $524.81 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $758.58 | Professional | TC · Technical part | $323.59 | $467.74 | $758.58 |
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 $309.03 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $141.25 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $346.74 | $389.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $141.25 | $158.49 |
Where Pennsylvania sits
The same service costs 7.1 times more in Texas 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· 42nd of 51
$891
TX $3,981HI $562
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.