How much rates vary
Facilitymedian $603 · 10th to 90th $295 to $1,622Professionalmedian $295 · 10th to 90th $240 to $457
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 $295.12 Median $537.03 Typical High $1,318.26 | Facility | None | $295.12 | $537.03 | $1,318.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $97.72 | Facility | 26 · Professional part | $53.70 | $64.57 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $1,258.93 | Facility | TC · Technical part | $199.53 | $251.19 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $251.19 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $58.88 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $177.83 | $223.87 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $239.88 | $446.68 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $77.62 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $5,370.32 | Facility | None | $851.14 | $1,513.56 | $5,370.32 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $1,479.11 Typical High $2,951.21 | Facility | TC · Technical part | $851.14 | $1,479.11 | $2,951.21 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $295.12 | $295.12 | $371.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $102.33 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $95.50 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $346.74 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $776.25 | Facility | None | $245.47 | $588.84 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $239.88 | $354.81 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $77.62 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $281.84 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $331.13 | $407.38 | $457.09 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $239.88 | $331.13 | $512.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $91.20 | $134.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $239.88 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $1,023.29 | Facility | None | $295.12 | $616.60 | $1,023.29 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $870.96 Typical High $1,230.27 | Facility | TC · Technical part | $398.11 | $870.96 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $371.54 | Professional | None (both parts) | $275.42 | $316.23 | $371.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $64.57 | $102.33 |
Independence Blue Cross Setting Facility Modifier None Typical Low $794.33 Median $1,548.82 Typical High $5,128.61 | Facility | None | $794.33 | $1,548.82 | $5,128.61 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $1,445.44 Typical High $2,570.40 | Facility | TC · Technical part | $338.84 | $1,445.44 | $2,570.40 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $295.12 | $295.12 | $354.81 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $57.54 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $1,318.26 | Facility | None | $295.12 | $549.54 | $1,318.26 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $107.15 | Facility | 26 · Professional part | $53.70 | $64.57 | $107.15 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $1,348.96 | Facility | TC · Technical part | $199.53 | $288.40 | $1,348.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $251.19 | $295.12 | $389.05 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $58.88 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $218.78 | $295.12 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,202.26 | Facility | None | $812.83 | $1,096.48 | $1,202.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $89.13 | $302.00 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $524.81 Typical High $912.01 | Facility | None | $257.04 | $524.81 | $912.01 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $257.04 | $257.04 | $354.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $54.95 | $93.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $204.17 | $263.03 |
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 $239.88 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $239.88 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $223.87 | $416.87 |
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 $123.03 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $54.95 | $58.88 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $58.88 Median $177.83 Typical High $691.83 | Facility | PN · Off-campus dept, non-excepted | $58.88 | $177.83 | $691.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $134.90 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $53.70 | $58.88 |
Where Pennsylvania sits
The same service costs 3.3 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· 36th of 51
$302
MN $676UT $204
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.