How much rates vary
Facilitymedian $661 · 10th to 90th $51 to $1,259Professionalmedian $46 · 10th to 90th $36 to $110
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 $39.81 Median $562.34 Typical High $1,318.26 | Facility | None | $39.81 | $562.34 | $1,318.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $19.05 | Facility | 26 · Professional part | $10.00 | $12.59 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $933.25 | Facility | TC · Technical part | $26.92 | $38.02 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $36.31 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $10.72 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $31.62 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $40.74 | $40.74 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $10.72 | $17.38 |
AmeriHealth Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $48.98 | $48.98 | $57.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.80 |
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 $38.02 Median $38.90 Typical High $125.89 | Professional | None (both parts) | $38.02 | $38.90 | $125.89 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $31.62 | Professional | 26 · Professional part | $10.00 | $10.47 | $31.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $89.13 | Professional | TC · Technical part | $27.54 | $28.84 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $83.18 | Facility | None | $35.48 | $69.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $36.31 | $60.26 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $13.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $26.92 | $46.77 | $72.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $52.48 | $67.61 | $89.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $15.49 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $52.48 | $69.18 |
Geisinger Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $42.66 | $56.23 | $93.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $15.14 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $40.74 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $173.78 Median $724.44 Typical High $1,258.93 | Facility | None | $173.78 | $724.44 | $1,258.93 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $1,023.29 Typical High $1,737.80 | Facility | TC · Technical part | $213.80 | $1,023.29 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $70.79 | Professional | None (both parts) | $42.66 | $47.86 | $70.79 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $12.59 | $30.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $501.19 Typical High $1,348.96 | Facility | None | $199.53 | $501.19 | $1,348.96 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $48.98 | $48.98 | $58.88 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $10.47 | $10.47 | $14.45 |
Martin's Point Setting Facility Modifier None Typical Low $38.90 Median $660.69 Typical High $1,318.26 | Facility | None | $38.90 | $660.69 | $1,318.26 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $19.50 | Facility | 26 · Professional part | $10.00 | $11.75 | $19.50 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $933.25 | Facility | TC · Technical part | $26.92 | $38.90 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $36.31 | $42.66 | $63.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $10.72 | $13.80 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | TC · Technical part | $26.30 | $31.62 | $50.12 |
Oscar Health Setting Facility Modifier None Typical Low $537.03 Median $588.84 Typical High $794.33 | Facility | None | $537.03 | $588.84 | $794.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $19.95 | $72.44 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $37.15 Median $114.82 Typical High $194.98 | Facility | None | $37.15 | $114.82 | $194.98 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $37.15 | $37.15 | $69.18 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $10.23 | $24.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $27.54 | $44.67 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,258.93 | Facility | None | $512.86 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $46.77 | $54.95 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $12.59 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $43.65 | $69.18 |
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 $17.78 Median $18.20 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.24 | $7.41 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $38.02 Median $40.74 Typical High $66.07 | Professional | 59 · Distinct service | $38.02 | $40.74 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.20 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $18.20 | $21.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.24 | $7.41 | $8.51 |
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· 41st of 51
$47.86
MN $105UT $31.62
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.