How much rates vary
Facilitymedian $525 · 10th to 90th $214 to $1,148Professionalmedian $224 · 10th to 90th $178 to $380
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 $208.93 Median $478.63 Typical High $1,174.90 | Facility | None | $208.93 | $478.63 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $58.88 | Facility | 26 · Professional part | $32.36 | $38.90 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $1,148.15 | Facility | TC · Technical part | $147.91 | $190.55 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $177.83 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $35.48 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $138.04 | $177.83 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $45.71 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $1,230.27 Typical High $3,388.44 | Facility | TC · Technical part | $676.08 | $1,230.27 | $3,388.44 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $44.67 |
Capital Blue Cross Setting Facility Modifier None Typical Low $776.25 Median $5,011.87 Typical High $56,234.13 | Facility | None | $776.25 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $208.93 | $309.03 | $467.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $56.23 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $251.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $436.52 Typical High $776.25 | Facility | None | $186.21 | $436.52 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $169.82 | $239.88 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $34.67 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $199.53 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $234.42 | $288.40 | $323.59 |
Geisinger Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $169.82 | $234.42 | $371.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $40.74 | $63.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $194.98 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $954.99 | Facility | None | $309.03 | $575.44 | $954.99 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $831.76 Typical High $1,148.15 | Facility | TC · Technical part | $416.87 | $831.76 | $1,148.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $194.98 | $223.87 | $257.04 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $36.31 | $56.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $239.88 Median $1,479.11 Typical High $3,235.94 | Facility | None | $239.88 | $1,479.11 | $3,235.94 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $1,230.27 Typical High $2,238.72 | Facility | TC · Technical part | $323.59 | $1,230.27 | $2,238.72 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $44.67 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $501.19 Typical High $1,230.27 | Facility | None | $208.93 | $501.19 | $1,230.27 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $58.88 | Facility | 26 · Professional part | $32.36 | $38.90 | $58.88 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $1,258.93 | Facility | TC · Technical part | $147.91 | $213.80 | $1,258.93 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $177.83 | $208.93 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $35.48 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $173.78 | $245.47 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,380.38 | Facility | None | $812.83 | $1,096.48 | $1,380.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $53.70 | $213.80 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $660.69 | Facility | None | $181.97 | $389.05 | $660.69 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $181.97 | $181.97 | $275.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $32.36 | $33.11 | $38.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $151.36 | $234.42 |
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 $165.96 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $165.96 | $199.53 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $34.67 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $165.96 | $302.00 |
5 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 $87.10 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $38.90 | $41.69 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $75.86 Median $204.17 Typical High $1,318.26 | Facility | PN · Off-campus dept, non-excepted | $75.86 | $204.17 | $1,318.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $97.72 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $35.48 | $38.90 | $41.69 |
Where Pennsylvania sits
The same service costs 3.5 times more in Minnesota 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· 26th of 51
$234
MN $550UT $158
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.