How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,413 to $16,982Professionalmedian $1,148 · 10th to 90th $759 to $2,138
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 $954.99 Median $5,495.41 Typical High $15,848.93 | Facility | None | $954.99 | $5,495.41 | $15,848.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Facility | 26 · Professional part | $707.95 | $831.76 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $758.58 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $707.95 Typical High $912.01 | Professional | 26 · Professional part | $575.44 | $707.95 | $912.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $245.47 | $371.54 |
AmeriHealth Setting Facility Modifier None Typical Low $4,897.79 Median $8,709.64 Typical High $23,988.33 | Facility | None | $4,897.79 | $8,709.64 | $23,988.33 |
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 $1,148.15 Median $1,258.93 Typical High $2,187.76 | Professional | None (both parts) | $1,148.15 | $1,258.93 | $2,187.76 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $977.24 Typical High $1,288.25 | Professional | 26 · Professional part | $602.56 | $977.24 | $1,288.25 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $501.19 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $5,248.07 Typical High $7,943.28 | Facility | None | $575.44 | $5,248.07 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $977.24 Typical High $1,659.59 | Professional | None (both parts) | $758.58 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $724.44 Typical High $1,230.27 | Professional | 26 · Professional part | $575.44 | $724.44 | $1,230.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $239.88 | $457.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $10,964.78 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,258.93 Typical High $3,311.31 | Professional | None (both parts) | $977.24 | $1,258.93 | $3,311.31 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $870.96 Typical High $1,445.44 | Professional | 26 · Professional part | $630.96 | $870.96 | $1,445.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $616.60 Typical High $1,548.82 | Professional | TC · Technical part | $338.84 | $616.60 | $1,548.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $16,218.10 Typical High $38,018.94 | Facility | None | $8,709.64 | $16,218.10 | $38,018.94 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $15,488.17 | Facility | None | $6,165.95 | $9,332.54 | $15,488.17 |
Martin's Point Setting Facility Modifier None Typical Low $954.99 Median $5,495.41 Typical High $16,982.44 | Facility | None | $954.99 | $5,495.41 | $16,982.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $758.58 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $758.58 | $933.25 | $1,445.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $707.95 Typical High $912.01 | Professional | 26 · Professional part | $575.44 | $707.95 | $912.01 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $245.47 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,905.46 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,905.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $4,265.80 | Facility | None | $1,148.15 | $2,511.89 | $4,265.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,318.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $724.44 Typical High $870.96 | Professional | 26 · Professional part | $602.56 | $724.44 | $870.96 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | TC · Technical part | $446.68 | $446.68 | $524.81 |
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 $1,047.13 Median $1,479.11 Typical High $2,691.53 | Professional | None (both parts) | $1,047.13 | $1,479.11 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $831.76 Typical High $1,288.25 | Professional | 26 · Professional part | $645.65 | $831.76 | $1,288.25 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $660.69 Typical High $1,230.27 | Professional | TC · Technical part | $398.11 | $660.69 | $1,230.27 |
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 $380.19 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $151.36 | $173.78 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $426.58 | $478.63 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $151.36 | $173.78 | $190.55 |
Where Pennsylvania sits
The same service costs 5.2 times more in Louisiana than in New York. 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· 34th of 51
$1,380
LA $4,677NY $891
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.