How much rates vary
Facilitymedian $251 · 10th to 90th $129 to $646Professionalmedian $148 · 10th to 90th $123 to $288
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 $128.82 Median $229.09 Typical High $691.83 | Facility | None | $128.82 | $229.09 | $691.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $40.74 | Facility | 26 · Professional part | $22.39 | $27.54 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $309.03 | Facility | TC · Technical part | $102.33 | $141.25 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $120.23 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $20.42 | $24.55 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $120.23 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $109.65 | $120.23 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $35.48 | $38.02 |
AmeriHealth Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $23.99 | $30.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $363.08 Median $5,011.87 Typical High $56,234.13 | Facility | None | $363.08 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $125.89 | $213.80 | $302.00 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $39.81 | $50.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $173.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $407.38 | Facility | None | $141.25 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $131.83 | $177.83 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $23.44 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $158.49 | $229.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $165.96 | $204.17 | $229.09 |
Geisinger Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $112.20 | $162.18 | $263.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $24.55 | $43.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $134.90 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $489.78 | Facility | None | $138.04 | $257.04 | $489.78 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $141.25 | $162.18 | $186.21 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $23.99 | $26.92 | $34.67 |
Independence Blue Cross Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $7,244.36 | Facility | None | $660.69 | $1,096.48 | $7,244.36 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $316.23 | Professional | 26 · Professional part | $20.42 | $30.20 | $316.23 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $691.83 | Facility | None | $128.82 | $234.42 | $691.83 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $41.69 | Facility | 26 · Professional part | $22.39 | $26.92 | $41.69 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $309.03 | Facility | TC · Technical part | $102.33 | $147.91 | $309.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $120.23 | $144.54 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $23.44 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $120.23 | $154.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $40.74 | $154.88 | $309.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $416.87 | Facility | None | $123.03 | $245.47 | $416.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $123.03 | $125.89 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $22.39 | $22.91 | $24.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $104.71 | Professional | TC · Technical part | $100.00 | $102.33 | $104.71 |
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 $128.82 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $128.82 | $151.36 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $128.82 | $234.42 |
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 $72.44 | Professional | 52 · Reduced service | $60.26 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $27.54 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $67.61 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.84 |
Where Pennsylvania sits
The same service costs 3.7 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· 43rd of 51
$151
AK $355UT $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.