How much rates vary
Facilitymedian $2,455 · 10th to 90th $355 to $8,710Professionalmedian $363 · 10th to 90th $282 to $661
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 $354.81 Median $3,801.89 Typical High $8,511.38 | Facility | None | $354.81 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $281.84 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $223.87 | $251.19 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $72.44 | $79.43 |
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 $331.13 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $331.13 | $371.54 | $676.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $407.38 Typical High $602.56 | Professional | 26 · Professional part | $234.42 | $407.38 | $602.56 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $97.72 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $501.19 Typical High $7,244.36 | Facility | None | $60.26 | $501.19 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $288.40 | $363.08 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $288.40 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $288.40 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $85.11 | $134.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $10,964.78 | Professional | None (both parts) | $575.44 | $575.44 | $10,964.78 |
Geisinger Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $354.81 Median $363.08 Typical High $954.99 | Professional | None (both parts) | $354.81 | $363.08 | $954.99 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $338.84 Typical High $575.44 | Professional | 26 · Professional part | $263.03 | $338.84 | $575.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $77.62 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | None | $15,848.93 | $15,848.93 | $15,848.93 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $281.84 | $354.81 | $354.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $275.42 | Professional | 26 · Professional part | $223.87 | $251.19 | $275.42 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $70.79 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $426.58 | $426.58 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $1,174.90 | Facility | None | $323.59 | $676.08 | $1,174.90 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $323.59 | $331.13 | $363.08 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $93.33 | $93.33 | $95.50 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $9,549.93 | Facility | None | $1,698.24 | $3,162.28 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $467.74 Typical High $724.44 | Professional | None (both parts) | $338.84 | $467.74 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $338.84 Typical High $501.19 | Professional | 26 · Professional part | $245.47 | $338.84 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $85.11 | $123.03 | $208.93 |
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 $141.25 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $141.25 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $56.23 | $63.10 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $141.25 | $158.49 | $177.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $56.23 | $63.10 | $70.79 |
Where Pennsylvania sits
The same service costs 9.5 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· 50th of 51
$372
LA $3,090NY $324
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.