How much rates vary
Facilitymedian $288 · 10th to 90th $126 to $1,738Professionalmedian $126 · 10th to 90th $110 to $229
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 $125.89 Median $177.83 Typical High $1,412.54 | Facility | None | $125.89 | $177.83 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $107.15 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $52.48 | $63.10 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
AmeriHealth Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $3,630.78 | Facility | None | $794.33 | $2,137.96 | $3,630.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $125.89 | $125.89 | $165.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $61.66 | $77.62 |
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 $114.82 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $114.82 | $162.18 | $229.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $81.28 | $120.23 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $54.95 | $79.43 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $363.08 | Facility | None | $70.79 | $162.18 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $107.15 | $162.18 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $52.48 | $83.18 | $141.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | None (both parts) | $158.49 | $186.21 | $213.80 |
Geisinger Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $125.89 | $169.82 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $72.44 | $117.49 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $100.00 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $691.83 | Facility | None | $229.09 | $302.00 | $691.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $3,467.37 | Facility | None | $794.33 | $1,995.26 | $3,467.37 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $125.89 | $125.89 | $223.87 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $61.66 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $1,318.26 | Facility | None | $125.89 | $177.83 | $1,318.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $107.15 | $125.89 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $61.66 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $63.10 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $204.17 | $269.15 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $467.74 Typical High $794.33 | Facility | None | $112.20 | $467.74 | $794.33 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $112.20 | $114.82 | $223.87 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $57.54 | $58.88 | $77.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $54.95 | $147.91 |
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 $107.15 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $107.15 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $66.07 | $144.54 |
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 $53.70 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $60.26 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $23.99 | $25.12 |
Where Pennsylvania sits
The same service costs 4.6 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
$129
AK $316UT $69.18
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.