How much rates vary
Facilitymedian $98 · 10th to 90th $45 to $1,698Professionalmedian $40 · 10th to 90th $36 to $72
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 $41.69 Median $56.23 Typical High $1,698.24 | Facility | None | $41.69 | $56.23 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $15.49 | Professional | 26 · Professional part | $13.49 | $14.45 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $26.92 | Professional | TC · Technical part | $21.88 | $25.12 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $36.31 | $36.31 | $64.57 |
AmeriHealth Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $40.74 | $40.74 | $48.98 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.60 |
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 $39.81 Typical High $72.44 | Professional | None (both parts) | $38.02 | $39.81 | $72.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $14.79 | $35.48 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $24.55 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $72.44 | Facility | None | $29.51 | $58.88 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $37.15 | $38.02 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $14.45 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $22.91 | $23.99 | $44.67 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $50.12 | $66.07 | $91.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $16.98 | $21.38 | $29.51 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $43.65 | $61.66 |
Geisinger Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $35.48 | $43.65 | $74.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $16.22 | $28.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $28.18 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $758.58 Typical High $1,071.52 | Facility | None | $104.71 | $758.58 | $1,071.52 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $41.69 | $43.65 | $56.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $162.18 Median $524.81 Typical High $1,258.93 | Facility | None | $162.18 | $524.81 | $1,258.93 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $40.74 | $40.74 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $1,819.70 | Facility | None | $41.69 | $60.26 | $1,819.70 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $35.48 | $38.02 | $41.69 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $13.49 | $13.80 | $15.14 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $26.30 | Professional | TC · Technical part | $21.88 | $24.55 | $26.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $26.30 | $41.69 | $81.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $120.23 | Facility | None | $36.31 | $69.18 | $120.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $36.31 | $37.15 | $47.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $14.13 | $14.13 | $17.78 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $29.51 | Professional | TC · Technical part | $22.91 | $23.44 | $29.51 |
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 $32.36 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $32.36 | $36.31 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $13.80 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $19.50 | $22.91 | $38.02 |
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 $20.89 | Professional | 52 · Reduced service | $17.78 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.24 | $8.32 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 59 · Distinct service | $39.81 | $39.81 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.20 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $18.20 | $20.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.24 | $8.32 |
Where Pennsylvania sits
The same service costs 2.7 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· 38th of 51
$39.81
MN $83.18UT $30.90
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.