How much rates vary
Facilitymedian $151 · 10th to 90th $29 to $708Professionalmedian $29 · 10th to 90th $25 to $62
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 $26.30 Median $42.66 Typical High $371.54 | Facility | None | $26.30 | $42.66 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $15.14 | Facility | 26 · Professional part | $7.94 | $10.23 | $15.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $43.65 | Facility | TC · Technical part | $17.38 | $24.55 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $38.02 | Professional | None (both parts) | $24.55 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $7.76 | $8.32 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $20.42 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $35.48 | Professional | None (both parts) | $26.30 | $28.18 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $14.13 | Professional | 26 · Professional part | $7.41 | $8.13 | $14.13 |
AmeriHealth Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,380.38 | Facility | None | $346.74 | $346.74 | $1,380.38 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $389.05 Typical High $812.83 | Facility | TC · Technical part | $147.91 | $389.05 | $812.83 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $30.90 | $30.90 | $33.88 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 26 · Professional part | $8.32 | $8.32 | $10.00 |
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 $27.54 Median $27.54 Typical High $83.18 | Professional | None (both parts) | $27.54 | $27.54 | $83.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $8.32 | $20.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.05 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $19.05 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $45.71 Typical High $54.95 | Facility | None | $22.91 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $25.70 | $34.67 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $8.13 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $26.92 | $43.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $35.48 | $46.77 | $64.57 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $9.77 | $12.59 | $17.38 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $33.88 | $47.86 |
Geisinger Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $27.54 | $34.67 | $61.66 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $9.33 | $15.85 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $25.12 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $95.50 Median $407.38 Typical High $724.44 | Facility | None | $95.50 | $407.38 | $724.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $28.18 | $34.67 | $47.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $10.00 | $19.05 |
Independence Blue Cross Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $1,000.00 | Facility | None | $147.91 | $346.74 | $1,000.00 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $331.13 Typical High $741.31 | Facility | TC · Technical part | $144.54 | $331.13 | $741.31 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $30.90 | $30.90 | $33.88 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | 26 · Professional part | $8.32 | $8.32 | $10.72 |
Martin's Point Setting Facility Modifier None Typical Low $26.30 Median $52.48 Typical High $371.54 | Facility | None | $26.30 | $52.48 | $371.54 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $15.85 | Facility | 26 · Professional part | $7.94 | $10.23 | $15.85 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $60.26 | Facility | TC · Technical part | $17.38 | $25.12 | $60.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | None (both parts) | $24.55 | $28.84 | $37.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $8.91 | Professional | 26 · Professional part | $7.76 | $8.32 | $8.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $28.84 | Professional | TC · Technical part | $16.98 | $20.42 | $28.84 |
Oscar Health Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $457.09 | Facility | None | $199.53 | $338.84 | $457.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $16.22 | $43.65 | $74.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.70 Median $60.26 Typical High $104.71 | Facility | None | $25.70 | $60.26 | $104.71 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.30 Typical High $43.65 | Professional | None (both parts) | $25.70 | $26.30 | $43.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $8.13 | $16.22 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.20 Typical High $26.92 | Professional | TC · Technical part | $17.78 | $18.20 | $26.92 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $26.92 | $33.11 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $7.94 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $25.12 | $40.74 |
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 $12.30 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.75 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $28.18 Median $30.20 Typical High $35.48 | Professional | 59 · Distinct service | $28.18 | $30.20 | $35.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.59 | $14.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.75 |
Where Pennsylvania sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 48th of 51
$28.84
MN $67.61TX $26.92
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.