How much rates vary
Facilitymedian $282 · 10th to 90th $126 to $708Professionalmedian $138 · 10th to 90th $117 to $234
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 $125.89 Median $177.83 Typical High $870.96 | Facility | None | $125.89 | $177.83 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $39.81 | Facility | 26 · Professional part | $23.44 | $28.84 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $169.82 | Facility | TC · Technical part | $95.50 | $114.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $117.49 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $23.99 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $112.20 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $95.50 | $95.50 | $112.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $363.08 Median $5,011.87 Typical High $56,234.13 | Facility | None | $363.08 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $117.49 | $173.78 | $245.47 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $32.36 | $50.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $138.04 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $363.08 | Facility | None | $123.03 | $281.84 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $112.20 | $162.18 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $23.99 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $134.90 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $89.13 | $181.97 | $213.80 |
Geisinger Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $114.82 | $162.18 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $26.30 | $41.69 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $138.04 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $512.86 | Facility | None | $169.82 | $338.84 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $446.68 | Professional | 26 · Professional part | $27.54 | $30.90 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $870.96 | Facility | None | $125.89 | $181.97 | $870.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $117.49 | $138.04 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $23.99 | $26.30 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $112.20 | $177.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $38.90 | $144.54 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $588.84 | Facility | None | $117.49 | $346.74 | $588.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $117.49 | $120.23 | $213.80 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $23.99 | $28.18 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $97.72 | $186.21 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $112.20 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $109.65 | $194.98 |
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 $58.88 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $25.70 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $64.57 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $25.70 | $27.54 |
Where Pennsylvania sits
The same service costs 3.3 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· 44th of 51
$138
AK $316UT $95.50
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.