How much rates vary
Facilitymedian $537 · 10th to 90th $263 to $1,413Professionalmedian $355 · 10th to 90th $302 to $631
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 $338.84 Median $501.19 Typical High $851.14 | Facility | None | $338.84 | $501.19 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $309.03 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $380.19 | Professional | TC · Technical part | $263.03 | $295.12 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $363.08 | $363.08 | $501.19 |
AmeriHealth Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $363.08 | $363.08 | $398.11 |
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 $331.13 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $331.13 | $478.63 | $741.31 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $91.20 | $141.25 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $275.42 | $398.11 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $707.95 Typical High $851.14 | Facility | None | $363.08 | $707.95 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $1,862.09 | Professional | None (both parts) | $239.88 | $354.81 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $281.84 | Professional | 26 · Professional part | $52.48 | $61.66 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $1,548.82 | Professional | TC · Technical part | $186.21 | $295.12 | $1,548.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $660.69 Typical High $676.08 | Professional | None (both parts) | $524.81 | $660.69 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $213.80 | $380.19 | $794.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $64.57 | $125.89 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $316.23 | $660.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $1,258.93 | Facility | None | $295.12 | $630.96 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $354.81 | $389.05 | $446.68 |
Independence Blue Cross Setting Facility Modifier None Typical Low $549.54 Median $1,479.11 Typical High $2,511.89 | Facility | None | $549.54 | $1,479.11 | $2,511.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $363.08 | $363.08 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $851.14 | Facility | None | $338.84 | $537.03 | $851.14 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $316.23 | $346.74 | $416.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $56.23 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $281.84 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $190.55 | $426.58 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $398.11 | Facility | None | $181.97 | $295.12 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $302.00 | $302.00 | $331.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $239.88 | $239.88 | $275.42 |
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 $208.93 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $208.93 | $316.23 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $263.03 | $512.86 |
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 $154.88 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $64.57 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $64.57 | $75.86 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 33rd of 51
$355
AK $776NM $240
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.