How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $891Professionalmedian $145 · 10th to 90th $123 to $275
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 $144.54 Median $676.08 Typical High $1,412.54 | Facility | None | $144.54 | $676.08 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $109.65 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $26.30 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $102.33 | $131.83 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $29.51 | $36.31 |
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 $141.25 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $141.25 | $144.54 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $37.15 | $50.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $109.65 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $380.19 Typical High $457.09 | Facility | None | $147.91 | $380.19 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $141.25 | $204.17 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $30.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $165.96 | $251.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $186.21 | $223.87 | $251.19 |
Geisinger Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $91.20 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $91.20 | $177.83 | $288.40 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.90 | $63.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $58.88 | $138.04 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $501.19 | Facility | None | $407.38 | $426.58 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $42.66 | $42.66 | $46.77 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $29.51 | $36.31 |
Martin's Point Setting Facility Modifier None Typical Low $144.54 Median $707.95 Typical High $912.01 | Facility | None | $144.54 | $707.95 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $109.65 | $125.89 | $151.36 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $26.30 | $37.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $102.33 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $61.66 | $177.83 | $363.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $275.42 Typical High $467.74 | Facility | None | $123.03 | $275.42 | $467.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $123.03 | $125.89 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $25.12 | $40.74 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $102.33 | $144.54 |
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 $138.04 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $138.04 | $165.96 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $28.84 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $138.04 | $257.04 |
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 $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $26.30 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $66.07 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $26.30 | $29.51 |
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· 45th of 51
$145
AK $407UT $117
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.