How much rates vary
Facilitymedian $363 · 10th to 90th $79 to $8,710Professionalmedian $178 · 10th to 90th $123 to $525
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 $158.49 Median $1,862.09 Typical High $8,511.38 | Facility | None | $158.49 | $1,862.09 | $8,511.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $204.17 | Facility | 26 · Professional part | $63.10 | $117.49 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $66.07 | $117.49 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $39.81 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $91.20 | $91.20 | $100.00 |
AmeriHealth Setting Facility Modifier None Typical Low $812.83 Median $75,857.76 Typical High $131,825.67 | Facility | None | $812.83 | $75,857.76 | $131,825.67 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $134.90 | $134.90 | $141.25 |
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 $158.49 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $158.49 | $169.82 | $177.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $144.54 Typical High $331.13 | Professional | 26 · Professional part | $53.70 | $144.54 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $83.18 | $213.80 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $154.88 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $20.42 | $54.95 | $91.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $3,090.30 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $3,090.30 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,090.30 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $323.59 | Professional | 26 · Professional part | $60.26 | $87.10 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $8,709.64 | Facility | None | $954.99 | $3,467.37 | $8,709.64 |
Independence Blue Cross Setting Facility Modifier None Typical Low $812.83 Median $75,857.76 Typical High $131,825.67 | Facility | None | $812.83 | $75,857.76 | $131,825.67 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $134.90 | $134.90 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $158.49 Median $1,862.09 Typical High $8,709.64 | Facility | None | $158.49 | $1,862.09 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $72.44 | $117.49 | $190.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $39.81 | $69.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $229.09 | $229.09 | $467.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $537.03 | Facility | None | $186.21 | $331.13 | $537.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $165.96 | $165.96 | $257.04 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $85.11 | $165.96 |
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 $295.12 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $295.12 | $457.09 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $204.17 Typical High $323.59 | Professional | 26 · Professional part | $128.82 | $204.17 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $776.25 | Professional | TC · Technical part | $131.83 | $213.80 | $776.25 |
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 $61.66 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $28.18 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $69.18 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $28.18 | $31.62 |
Where Pennsylvania sits
The same service costs 4.8 times more in Nebraska 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
$178
NE $724SC $151
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.