How much rates vary
Facilitymedian $447 · 10th to 90th $120 to $5,012Professionalmedian $195 · 10th to 90th $182 to $407
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 $181.97 Median $218.78 Typical High $1,862.09 | Facility | None | $181.97 | $218.78 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $46.77 | $60.26 |
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 $186.21 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $186.21 | $194.98 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $338.84 | Professional | 26 · Professional part | $141.25 | $144.54 | $338.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $48.98 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $120.23 Typical High $144.54 | Facility | None | $64.57 | $120.23 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $181.97 | $295.12 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $275.42 | Professional | 26 · Professional part | $134.90 | $186.21 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $107.15 | $131.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $223.87 | $288.40 | $338.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $190.55 | $302.00 | $549.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $204.17 Typical High $407.38 | Professional | 26 · Professional part | $141.25 | $204.17 | $407.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $48.98 | $79.43 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $1,862.09 | Facility | None | $218.78 | $218.78 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $134.90 | $134.90 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $46.77 | $60.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | None (both parts) | $323.59 | $354.81 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $323.59 | Facility | None | $186.21 | $323.59 | $323.59 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $186.21 | $323.59 | $323.59 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $138.04 | $208.93 | $208.93 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $47.86 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $169.82 Median $575.44 Typical High $4,677.35 | Facility | None | $169.82 | $575.44 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $186.21 | $269.15 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $194.98 Typical High $288.40 | Professional | 26 · Professional part | $134.90 | $194.98 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $70.79 | $120.23 |
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 $91.20 Median $91.20 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $36.31 | $44.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $91.20 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $36.31 | $44.67 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 47th of 51
$195
AK $468UT $132
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.