How much rates vary
Facilitymedian $575 · 10th to 90th $245 to $1,445Professionalmedian $269 · 10th to 90th $219 to $490
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 $234.42 Median $512.86 Typical High $1,047.13 | Facility | None | $234.42 | $512.86 | $1,047.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $67.61 | Facility | 26 · Professional part | $37.15 | $44.67 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $467.74 | Facility | TC · Technical part | $194.98 | $251.19 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $208.93 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $39.81 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $177.83 | $213.80 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $186.21 | $218.78 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $54.95 | $63.10 |
AmeriHealth Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $18,620.87 | Facility | None | $562.34 | $1,047.13 | $18,620.87 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $269.15 | $269.15 | $346.74 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $38.90 | $45.71 |
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 $239.88 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $239.88 | $398.11 | $501.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $64.57 | $77.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $338.84 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $776.25 | Facility | None | $239.88 | $575.44 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $218.78 | $295.12 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $181.97 | $263.03 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $302.00 | $371.54 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $177.83 | $275.42 | $407.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $39.81 | $67.61 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $234.42 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $234.42 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $1,047.13 | Facility | None | $302.00 | $562.34 | $1,047.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $251.19 | $281.84 | $338.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $42.66 | $56.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $17,378.01 | Facility | None | $660.69 | $1,288.25 | $17,378.01 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $269.15 | $269.15 | $346.74 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $38.90 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $1,148.15 | Facility | None | $234.42 | $512.86 | $1,148.15 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $74.13 | Facility | 26 · Professional part | $37.15 | $44.67 | $74.13 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $467.74 | Facility | TC · Technical part | $194.98 | $257.04 | $467.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $204.17 | $245.47 | $338.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $38.90 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $208.93 | $281.84 |
Oscar Health Setting Facility Modifier None Typical Low $537.03 Median $588.84 Typical High $776.25 | Facility | None | $537.03 | $588.84 | $776.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $66.07 | $245.47 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $602.56 | Facility | None | $229.09 | $354.81 | $602.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $229.09 | $234.42 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $194.98 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $467.74 | Professional | None (both parts) | $208.93 | $251.19 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $218.78 | $407.38 |
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 $107.15 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $46.77 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $117.49 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $46.77 | $53.70 |
Where Pennsylvania sits
The same service costs 3.2 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· 28th of 51
$275
AK $603UT $191
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.