How much rates vary
Facilitymedian $2,455 · 10th to 90th $525 to $9,120Professionalmedian $537 · 10th to 90th $513 to $955
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 $5,495.41 Typical High $10,471.29 | Facility | None | $724.44 | $5,495.41 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | 26 · Professional part | $288.40 | $316.23 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $245.47 | $275.42 | $323.59 |
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 $512.86 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $512.86 | $537.03 | $977.24 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $309.03 Typical High $660.69 | Professional | 26 · Professional part | $302.00 | $309.03 | $660.69 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $181.97 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $1,000.00 | Professional | None (both parts) | $537.03 | $645.65 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $537.03 | Professional | 26 · Professional part | $288.40 | $338.84 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $309.03 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,348.96 Typical High $1,659.59 | Professional | None (both parts) | $812.83 | $1,348.96 | $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 $602.56 Median $630.96 Typical High $1,380.38 | Professional | None (both parts) | $602.56 | $630.96 | $1,380.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $407.38 Typical High $724.44 | Professional | 26 · Professional part | $309.03 | $407.38 | $724.44 |
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
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 $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $309.03 Typical High $354.81 | Professional | 26 · Professional part | $288.40 | $309.03 | $354.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $245.47 | $275.42 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,380.38 | Professional | None (both parts) | $776.25 | $776.25 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $478.63 Median $1,174.90 Typical High $2,041.74 | Facility | None | $478.63 | $1,174.90 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $478.63 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $478.63 | $537.03 | $707.95 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 26 · Professional part | $295.12 | $295.12 | $302.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | TC · Technical part | $169.82 | $169.82 | $173.78 |
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 $489.78 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $489.78 | $660.69 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $389.05 Typical High $602.56 | Professional | 26 · Professional part | $295.12 | $389.05 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $223.87 | $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 $269.15 Median $269.15 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $107.15 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $269.15 | $338.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $107.15 | $134.90 |
Where Pennsylvania sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$537
AK $1,288HI $437
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.