How much rates vary
Facilitymedian $513 · 10th to 90th $245 to $871Professionalmedian $282 · 10th to 90th $234 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 $281.84 Median $354.81 Typical High $575.44 | Facility | None | $281.84 | $354.81 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $57.54 | Facility | 26 · Professional part | $40.74 | $46.77 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $263.03 Typical High $309.03 | Facility | TC · Technical part | $239.88 | $263.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $346.74 | Professional | None (both parts) | $234.42 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $40.74 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $239.88 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $223.87 | $223.87 | $229.09 |
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 $234.42 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $234.42 | $346.74 | $501.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $53.70 | $77.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $288.40 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $602.56 Typical High $776.25 | Facility | None | $263.03 | $602.56 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $223.87 | $295.12 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $42.66 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $251.19 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $316.23 | $389.05 | $436.52 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $257.04 | $281.84 | $478.63 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $43.65 | $70.79 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $239.88 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $707.95 Typical High $954.99 | Facility | None | $380.19 | $707.95 | $954.99 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $39.81 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $575.44 | Facility | None | $281.84 | $363.08 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $346.74 | Professional | None (both parts) | $234.42 | $281.84 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $40.74 | $46.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $239.88 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $288.40 | $295.12 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $416.87 | Facility | None | $229.09 | $281.84 | $416.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $234.42 | $239.88 | $281.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $37.15 | $38.02 | $42.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $199.53 | $204.17 | $239.88 |
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 $229.09 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $229.09 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $38.90 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $223.87 | $426.58 |
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 $117.49 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $52.48 | $56.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $128.82 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $52.48 | $56.23 |
Where Pennsylvania sits
The same service costs 3.1 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· 34th of 51
$282
AK $631UT $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.