How much rates vary
Facilitymedian $537 · 10th to 90th $72 to $1,660Professionalmedian $65 · 10th to 90th $58 to $115
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 $61.66 Median $97.72 Typical High $1,318.26 | Facility | None | $61.66 | $97.72 | $1,318.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $42.66 | Facility | 26 · Professional part | $26.92 | $34.67 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $812.83 | Facility | TC · Technical part | $31.62 | $46.77 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $57.54 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $38.02 | Professional | TC · Technical part | $30.90 | $33.11 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $28.18 | $48.98 |
AmeriHealth Setting Facility Modifier None Typical Low $263.03 Median $776.25 Typical High $3,715.35 | Facility | None | $263.03 | $776.25 | $3,715.35 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $28.84 | $28.84 | $36.31 |
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 $61.66 Median $64.57 Typical High $109.65 | Professional | None (both parts) | $61.66 | $64.57 | $109.65 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $28.18 | $69.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $36.31 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $102.33 | Facility | None | $41.69 | $85.11 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $60.26 | $61.66 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $34.67 | $61.66 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $83.18 | $107.15 | $151.36 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $42.66 | $60.26 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $64.57 | $91.20 |
Geisinger Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $57.54 | $75.86 | $141.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $32.36 | $56.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $28.84 | $42.66 | $75.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,479.11 | Facility | None | $257.04 | $891.25 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $66.07 | $72.44 | $114.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $33.11 | $46.77 |
Independence Blue Cross Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $2,238.72 | Facility | None | $263.03 | $630.96 | $2,238.72 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $28.84 | $38.02 |
Martin's Point Setting Facility Modifier None Typical Low $61.66 Median $102.33 Typical High $1,318.26 | Facility | None | $61.66 | $102.33 | $1,318.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $57.54 | $60.26 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 26 · Professional part | $26.30 | $26.92 | $29.51 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $37.15 | Professional | TC · Technical part | $30.90 | $32.36 | $37.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $41.69 | $125.89 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $58.88 Median $158.49 Typical High $275.42 | Facility | None | $58.88 | $158.49 | $275.42 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $58.88 | $60.26 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $26.92 | $27.54 | $33.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $32.36 Typical High $112.20 | Professional | TC · Technical part | $31.62 | $32.36 | $112.20 |
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 $48.98 Median $54.95 Typical High $107.15 | Professional | None (both parts) | $48.98 | $54.95 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $26.92 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $25.70 | $28.84 | $48.98 |
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 $28.84 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $28.84 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $11.48 | $11.75 | $13.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $28.84 | $29.51 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $11.48 | $11.75 | $13.18 |
Where Pennsylvania sits
The same service costs 3.6 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· 37th of 51
$64.57
MN $141TX $38.90
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.