How much rates vary
Facilitymedian $204 · 10th to 90th $36 to $1,862Professionalmedian $45 · 10th to 90th $37 to $74
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 $36.31 Median $42.66 Typical High $1,862.09 | Facility | None | $36.31 | $42.66 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $42.66 | Professional | None (both parts) | $36.31 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $30.20 | Professional | TC · Technical part | $25.12 | $28.18 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
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 $42.66 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $42.66 | $44.67 | $79.43 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $12.59 | $26.30 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $30.90 | $32.36 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $93.33 | Facility | None | $33.88 | $77.62 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $41.69 | $47.86 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $11.75 | $13.49 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $34.67 | $52.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $57.54 | $75.86 | $97.72 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $18.62 | $23.99 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $56.23 | $74.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $41.69 | $47.86 | $85.11 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $13.49 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $34.67 | $61.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $1,862.09 | Facility | None | $42.66 | $42.66 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $36.31 | $38.02 | $42.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $11.75 | $12.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $30.20 | Professional | TC · Technical part | $25.12 | $26.30 | $30.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $21.88 | $48.98 | $95.50 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $199.53 Typical High $316.23 | Facility | None | $36.31 | $199.53 | $316.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $38.02 | Professional | None (both parts) | $36.31 | $37.15 | $38.02 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $12.02 | Professional | 26 · Professional part | $11.22 | $11.75 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
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 $35.48 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $35.48 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $10.96 | $12.02 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $26.92 | $44.67 |
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 $18.20 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $18.62 | $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 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $18.62 | $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 2.9 times more in Alaska 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· 34th of 51
$44.67
AK $89.13UT $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.