How much rates vary
Facilitymedian $1,230 · 10th to 90th $81 to $8,913Professionalmedian $145 · 10th to 90th $115 to $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 $588.84 Median $5,495.41 Typical High $10,471.29 | Facility | None | $588.84 | $5,495.41 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $114.82 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $107.15 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $37.15 | $46.77 |
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 $117.49 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $117.49 | $125.89 | $131.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $144.54 Typical High $234.42 | Professional | 26 · Professional part | $79.43 | $144.54 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $102.33 | $169.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $128.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $24.55 | $42.66 | $72.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $10,471.29 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $10,471.29 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $10,471.29 | $10,471.29 | $10,471.29 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $120.23 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $4,365.16 | Facility | None | $645.65 | $645.65 | $4,365.16 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $5,248.07 Typical High $10,964.78 | Facility | None | $588.84 | $5,248.07 | $10,964.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $114.82 | $144.54 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $107.15 | $131.83 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $37.15 | $46.77 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $245.47 | $245.47 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $5,888.44 | Facility | None | $2,187.76 | $3,630.78 | $5,888.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $1,995.26 | Professional | None (both parts) | $151.36 | $151.36 | $1,995.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $83.18 | $151.36 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,698.24 | Facility | None | $70.79 | $141.25 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $3,311.31 | Professional | None (both parts) | $158.49 | $263.03 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $165.96 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $2,884.03 | Professional | TC · Technical part | $39.81 | $69.18 | $2,884.03 |
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 $57.54 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $25.70 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $64.57 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $25.70 | $28.84 |
Where Pennsylvania sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 48th of 51
$158
TN $2,344SC $126
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.