How much rates vary
Facilitymedian $437 · 10th to 90th $151 to $1,023Professionalmedian $155 · 10th to 90th $120 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 $141.25 Median $323.59 Typical High $954.99 | Facility | None | $141.25 | $323.59 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $38.02 | Facility | 26 · Professional part | $21.38 | $28.84 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $257.04 | Facility | TC · Technical part | $100.00 | $144.54 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $120.23 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $20.89 | $23.44 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $117.49 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $91.20 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $32.36 | $40.74 |
AmeriHealth Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $4,786.30 | Facility | None | $446.68 | $794.33 | $4,786.30 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $117.49 | $141.25 | $158.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $467.74 Median $5,011.87 Typical High $56,234.13 | Facility | None | $467.74 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $125.89 | $208.93 | $309.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $36.31 | $56.23 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $302.00 Typical High $501.19 | Facility | None | $128.82 | $302.00 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $117.49 | $165.96 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $141.25 | $208.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $169.82 | $208.93 | $234.42 |
Geisinger Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $131.83 | $177.83 | $275.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $26.92 | $41.69 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $154.88 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $776.25 | Facility | None | $257.04 | $457.09 | $776.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $21.88 | $36.31 |
Independence Blue Cross Setting Facility Modifier None Typical Low $295.12 Median $831.76 Typical High $4,570.88 | Facility | None | $295.12 | $831.76 | $4,570.88 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $104.71 | $141.25 | $158.49 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $954.99 | Facility | None | $141.25 | $346.74 | $954.99 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $38.90 | Facility | 26 · Professional part | $21.38 | $29.51 | $38.90 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $257.04 | Facility | TC · Technical part | $100.00 | $154.88 | $257.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $120.23 | $141.25 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $20.89 | $23.44 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $117.49 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $26.30 | $141.25 | $281.84 |
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 $181.97 | Professional | None (both parts) | $123.03 | $125.89 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $21.38 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $102.33 | $102.33 | $147.91 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $114.82 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $22.91 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $114.82 | $218.78 |
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 $60.26 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $67.61 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.18 |
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· 29th of 51
$166
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.