How much rates vary
Facilitymedian $148 · 10th to 90th $58 to $1,862Professionalmedian $85 · 10th to 90th $58 to $129
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 $58.88 Median $69.18 Typical High $1,862.09 | Facility | None | $58.88 | $69.18 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $69.18 | Professional | None (both parts) | $58.88 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $19.05 | Professional | 26 · Professional part | $16.98 | $17.78 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $42.66 | $51.29 |
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 $85.11 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $85.11 | $87.10 | $134.90 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $20.42 | $38.02 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $67.61 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $144.54 Typical High $173.78 | Facility | None | $57.54 | $144.54 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $51.29 | $74.13 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $19.05 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $33.11 | $52.48 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $134.90 | $177.83 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $34.67 | $46.77 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $144.54 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $74.13 | $123.03 | $190.55 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $26.92 | $39.81 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $95.50 | $151.36 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $1,862.09 | Facility | None | $69.18 | $69.18 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $69.18 | Professional | None (both parts) | $58.88 | $60.26 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.38 Typical High $18.62 | Professional | 26 · Professional part | $16.98 | $17.38 | $18.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $42.66 | $51.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $41.69 | $91.20 | $208.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $120.23 Typical High $208.93 | Facility | None | $45.71 | $120.23 | $208.93 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $45.71 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $45.71 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.05 | $19.50 | $19.50 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $57.54 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $57.54 | $58.88 |
United Setting Facility Modifier None Typical Low $177.83 Median $380.19 Typical High $436.52 | Facility | None | $177.83 | $380.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $45.71 | $61.66 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $18.20 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $27.54 | $44.67 | $83.18 |
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 $29.51 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $12.02 | $13.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $30.20 | $34.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $12.02 | $13.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 25th of 51
$85.11
ND $186KY $53.70
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.