How much rates vary
Facilitymedian $56 · 10th to 90th $5 to $1,349Professionalmedian $4 · 10th to 90th $3 to $10
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 $5.01 Median $5.50 Typical High $436.52 | Facility | None | $5.01 | $5.50 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $5.25 | Professional | None | $2.75 | $3.09 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.66 Typical High $1.86 | Professional | 52 · Reduced service | $1.55 | $1.66 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.66 Typical High $0.76 | Professional | 53 · Discontinued | $0.62 | $0.66 | $0.76 |
AmeriHealth Setting Facility Modifier None Typical Low $144.54 Median $426.58 Typical High $1,698.24 | Facility | None | $144.54 | $426.58 | $1,698.24 |
AmeriHealth Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.50 | Professional | None | $4.07 | $4.07 | $5.50 |
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 Typical Low $3.80 Median $3.98 Typical High $10.00 | Professional | None | $3.80 | $3.98 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $5.25 Median $6.92 Typical High $9.33 | Professional | None | $5.25 | $6.92 | $9.33 |
Geisinger Setting Professional Modifier None Typical Low $4.17 Median $5.25 Typical High $8.91 | Professional | None | $4.17 | $5.25 | $8.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $18.62 Median $54.95 Typical High $263.03 | Facility | None | $18.62 | $54.95 | $263.03 |
Independence Blue Cross Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $1,348.96 | Facility | None | $208.93 | $489.78 | $1,348.96 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Martin's Point Setting Facility Modifier None Typical Low $5.37 Median $6.17 Typical High $436.52 | Facility | None | $5.37 | $6.17 | $436.52 |
Martin's Point Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $5.25 | Professional | None | $2.75 | $3.09 | $5.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.58 Typical High $1.86 | Professional | 52 · Reduced service | $1.55 | $1.58 | $1.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.63 Typical High $0.76 | Professional | 53 · Discontinued | $0.62 | $0.63 | $0.76 |
Oscar Health Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $39.81 | Professional | None | $5.13 | $10.23 | $39.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.47 Median $33.11 Typical High $57.54 | Facility | None | $3.47 | $33.11 | $57.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.47 Median $25.70 Typical High $25.70 | Professional | None | $3.47 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $3.31 Median $3.89 Typical High $7.24 | Professional | None | $3.31 | $3.89 | $7.24 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | 59 · Distinct service | $4.07 | $4.07 | $4.27 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 51st of 51
$3.98
KS $9.33PA $3.98
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.