How much rates vary
Facilitymedian $525 · 10th to 90th $186 to $4,266Professionalmedian $182 · 10th to 90th $148 to $339
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 $173.78 Median $229.09 Typical High $912.01 | Facility | None | $173.78 | $229.09 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $147.91 | $173.78 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $22.91 | $25.70 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $147.91 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $128.82 | $128.82 | $151.36 |
AmeriHealth Setting Facility Modifier None Typical Low $549.54 Median $977.24 Typical High $7,585.78 | Facility | None | $549.54 | $977.24 | $7,585.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $147.91 | $173.78 | $223.87 |
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 $151.36 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $151.36 | $257.04 | $407.38 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $40.74 | $61.66 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $645.65 | Facility | None | $162.18 | $380.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $144.54 | $208.93 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $181.97 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $213.80 | $263.03 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $162.18 | $213.80 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $30.20 | $46.77 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $134.90 | $190.55 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $977.24 | Facility | None | $302.00 | $457.09 | $977.24 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $24.55 | $25.70 | $26.92 |
Independence Blue Cross Setting Facility Modifier None Typical Low $323.59 Median $1,023.29 Typical High $7,079.46 | Facility | None | $323.59 | $1,023.29 | $7,079.46 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $138.04 | $173.78 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $912.01 | Facility | None | $173.78 | $234.42 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $147.91 | $173.78 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $22.91 | $25.70 | $30.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $147.91 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $169.82 Typical High $363.08 | Professional | None (both parts) | $38.90 | $169.82 | $363.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $467.74 | Facility | None | $151.36 | $269.15 | $467.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $151.36 | $154.88 | $223.87 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.99 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $125.89 | $128.82 | $186.21 |
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 $141.25 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $141.25 | $165.96 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $120.23 | $144.54 | $269.15 |
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 $74.13 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $33.11 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $81.28 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $33.11 | $34.67 |
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· 32nd of 51
$195
AK $417UT $126
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.