How much rates vary
Facilitymedian $2,455 · 10th to 90th $447 to $9,120Professionalmedian $347 · 10th to 90th $331 to $603
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 $831.76 Median $5,754.40 Typical High $10,471.29 | Facility | None | $831.76 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $407.38 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $165.96 | $165.96 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $239.88 | $239.88 | $316.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $331.13 | $346.74 | $616.60 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $371.54 | Professional | 26 · Professional part | $169.82 | $177.83 | $371.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $144.54 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $407.38 | $512.86 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $309.03 | Professional | 26 · Professional part | $165.96 | $194.98 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $309.03 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,659.59 |
Geisinger Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $467.74 | $489.78 | $1,047.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $426.58 | Professional | 26 · Professional part | $177.83 | $234.42 | $426.58 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $281.84 | $616.60 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,023.29 | $5,248.07 | $10,964.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $407.38 | $407.38 | $512.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $165.96 | $165.96 | $204.17 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $239.88 | $239.88 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $602.56 | $1,096.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $1,819.70 | Facility | None | $316.23 | $1,047.13 | $1,819.70 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $316.23 | $416.87 | $549.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 26 · Professional part | $169.82 | $169.82 | $173.78 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $138.04 | $138.04 | $141.25 |
United Setting Facility Modifier None Typical Low $169.82 Median $630.96 Typical High $4,466.84 | Facility | None | $169.82 | $630.96 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $316.23 | $426.58 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $338.84 | Professional | 26 · Professional part | $165.96 | $229.09 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $131.83 | $181.97 | $467.74 |
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 $199.53 Median $199.53 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $81.28 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $199.53 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $81.28 | $102.33 |
Where Pennsylvania sits
The same service costs 3.0 times more in Wisconsin than in North 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· 49th of 51
$347
WI $1,000NC $331
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.