How much rates vary
Facilitymedian $759 · 10th to 90th $132 to $1,995Professionalmedian $288 · 10th to 90th $269 to $501
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 $269.15 Median $302.00 Typical High $1,862.09 | Facility | None | $269.15 | $302.00 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $269.15 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $229.09 Typical High $251.19 | Professional | 26 · Professional part | $223.87 | $229.09 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $43.65 | $51.29 |
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 $275.42 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $275.42 | $288.40 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $239.88 Typical High $457.09 | Professional | 26 · Professional part | $234.42 | $239.88 | $457.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $44.67 | $45.71 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $109.65 Typical High $131.83 | Facility | None | $57.54 | $109.65 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $269.15 | $331.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $398.11 | Professional | 26 · Professional part | $223.87 | $251.19 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $28.18 | $50.12 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $331.13 | $416.87 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $281.84 | $407.38 | $851.14 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $234.42 | $316.23 | $575.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $44.67 | $72.44 | $181.97 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,862.09 | Facility | None | $302.00 | $302.00 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $269.15 | $275.42 | $302.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $229.09 Typical High $251.19 | Professional | 26 · Professional part | $223.87 | $229.09 | $251.19 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $43.65 | $51.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $467.74 | $524.81 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $851.14 Typical High $1,445.44 | Facility | None | $275.42 | $851.14 | $1,445.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $275.42 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $234.42 | $331.13 | $331.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $43.65 | $169.82 | $169.82 |
United Setting Facility Modifier None Typical Low $426.58 Median $891.25 Typical High $1,047.13 | Facility | None | $426.58 | $891.25 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $251.19 | $281.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $446.68 | Professional | 26 · Professional part | $218.78 | $239.88 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $40.74 | $83.18 |
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 $134.90 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $53.70 | $54.95 | $60.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $138.04 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $53.70 | $54.95 | $60.26 |
Where Pennsylvania sits
The same service costs 3.3 times more in Minnesota 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· 43rd of 51
$288
MN $661UT $200
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.