How much rates vary
Facilitymedian $1,413 · 10th to 90th $81 to $10,000Professionalmedian $245 · 10th to 90th $182 to $562
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 $724.44 Median $5,754.40 Typical High $10,471.29 | Facility | None | $724.44 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $208.93 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | 26 · Professional part | $158.49 | $186.21 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $64.57 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
AmeriHealth Setting Facility Modifier None Typical Low $4,365.16 Median $66,069.34 Typical High $112,201.85 | Facility | None | $4,365.16 | $66,069.34 | $112,201.85 |
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 $173.78 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $173.78 | $181.97 | $190.55 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $288.40 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $288.40 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $208.93 | $263.03 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $338.84 | Professional | 26 · Professional part | $158.49 | $190.55 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $63.10 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $3,715.35 Typical High $10,471.29 | Professional | None (both parts) | $3,715.35 | $3,715.35 | $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 $169.82 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $169.82 | $229.09 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4,365.16 Median $66,069.34 Typical High $112,201.85 | Facility | None | $4,365.16 | $66,069.34 | $112,201.85 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $5,248.07 Typical High $10,964.78 | Facility | None | $831.76 | $5,248.07 | $10,964.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $208.93 | $251.19 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $158.49 | $181.97 | $229.09 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $66.07 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,630.27 Median $4,365.16 Typical High $7,079.46 | Facility | None | $2,630.27 | $4,365.16 | $7,079.46 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $2,187.76 | Professional | None (both parts) | $218.78 | $218.78 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $162.18 | $169.82 | $218.78 |
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 $218.78 Median $371.54 Typical High $3,090.30 | Professional | None (both parts) | $218.78 | $371.54 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $239.88 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $239.88 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $2,818.38 | Professional | TC · Technical part | $53.70 | $91.20 | $2,818.38 |
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 $104.71 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $46.77 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $117.49 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $46.77 | $52.48 |
Where Pennsylvania sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 45th of 51
$263
WI $1,047MD $229
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.