How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $169.82 Median $169.82 Typical High $1,412.54 | Facility | None | $169.82 | $169.82 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $169.82 | Professional | None | $131.83 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $30.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $851.14 | Facility | None | $316.23 | $707.95 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $1,096.48 | Professional | None | $154.88 | $234.42 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $208.93 | Professional | None | $141.25 | $204.17 | $208.93 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | None | $107.15 | $107.15 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $1,862.09 | Facility | None | $426.58 | $562.34 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $501.19 | Professional | None | $181.97 | $194.98 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,862.09 | Facility | None | $169.82 | $169.82 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $169.82 | Professional | None | $131.83 | $151.36 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $74.13 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $30.20 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $112.20 | Professional | None | $104.71 | $107.15 | $112.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Facility | None | $104.71 | $109.65 | $109.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | None | $104.71 | $109.65 | $109.65 |
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 Typical Low $85.11 Median $102.33 Typical High $199.53 | Professional | None | $85.11 | $102.33 | $199.53 |
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 Q6 · Substitute physician, paid per time Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | Q6 · Substitute physician, paid per time | $2,630.27 | $2,630.27 | $2,630.27 |
Where Pennsylvania sits
The same service costs 5.8 times more in New Hampshire than in Florida. 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· 40th of 51
$151
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.