How much rates vary
Facilitymedian $224 · 10th to 90th $89 to $501Professionalmedian $95 · 10th to 90th $76 to $178
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 $81.28 Median $123.03 Typical High $426.58 | Facility | None | $81.28 | $123.03 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $21.88 | Facility | 26 · Professional part | $11.75 | $14.13 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $158.49 | Facility | TC · Technical part | $66.07 | $85.11 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $75.86 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.88 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $77.62 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $56.23 | $69.18 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $18.62 | $22.39 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $87.10 | $91.20 | $114.82 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.60 |
Capital Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $5,011.87 Typical High $56,234.13 | Facility | None | $380.19 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $77.62 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $77.62 | $134.90 | $208.93 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $11.75 | $20.42 | $31.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $112.20 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $199.53 Typical High $380.19 | Facility | None | $83.18 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $74.13 | $107.15 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $12.59 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $93.33 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $107.15 | $131.83 | $144.54 |
Geisinger Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $81.28 | $117.49 | $169.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $14.45 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $100.00 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $120.23 Median $288.40 Typical High $524.81 | Facility | None | $120.23 | $288.40 | $524.81 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $11.22 | $12.30 | $19.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $3,090.30 | Facility | None | $446.68 | $724.44 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $72.44 | $91.20 | $114.82 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.22 |
Martin's Point Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $436.52 | Facility | None | $81.28 | $138.04 | $436.52 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $23.99 | Facility | 26 · Professional part | $11.75 | $14.13 | $23.99 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $165.96 | Facility | TC · Technical part | $66.07 | $85.11 | $165.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $75.86 | $91.20 | $141.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.88 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $77.62 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $19.50 | $85.11 | $177.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $316.23 | Facility | None | $77.62 | $181.97 | $316.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $77.62 | $79.43 | $120.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.02 | $19.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $67.61 | $100.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $72.44 | $87.10 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $74.13 | $141.25 |
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 $38.02 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $15.14 | $16.98 | $18.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $41.69 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $15.14 | $16.98 | $18.20 |
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· 30th of 51
$102
AK $209UT $63.10
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.