How much rates vary
Facilitymedian $589 · 10th to 90th $282 to $1,413Professionalmedian $389 · 10th to 90th $302 to $676
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 $354.81 Median $562.34 Typical High $1,513.56 | Facility | None | $354.81 | $562.34 | $1,513.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $54.95 | $70.79 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $794.33 | Facility | TC · Technical part | $302.00 | $407.38 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $323.59 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $57.54 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $269.15 | $309.03 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $169.82 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $85.11 | $107.15 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | TC · Technical part | $831.76 | $831.76 | $831.76 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $398.11 | $398.11 | $436.52 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $57.54 | $57.54 | $69.18 |
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 $371.54 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $371.54 | $524.81 | $831.76 |
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 $316.23 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $446.68 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $977.24 | Facility | None | $407.38 | $812.83 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $1,995.26 | Professional | None (both parts) | $218.78 | $371.54 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $275.42 | Professional | 26 · Professional part | $52.48 | $61.66 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $1,737.80 | Professional | TC · Technical part | $165.96 | $316.23 | $1,737.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $707.95 Typical High $724.44 | Professional | None (both parts) | $575.44 | $707.95 | $724.44 |
Geisinger Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $194.98 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $194.98 | $407.38 | $794.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $63.10 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $138.04 | $346.74 | $676.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,174.90 | Facility | None | $426.58 | $630.96 | $1,174.90 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $83.18 | $446.68 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $66.07 | $95.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $389.05 Median $1,047.13 Typical High $1,949.84 | Facility | None | $389.05 | $1,047.13 | $1,949.84 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $398.11 | $398.11 | $426.58 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $57.54 | $66.07 |
Martin's Point Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $1,548.82 | Facility | None | $354.81 | $575.44 | $1,548.82 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $109.65 | Facility | 26 · Professional part | $54.95 | $75.86 | $109.65 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $933.25 | Facility | TC · Technical part | $302.00 | $478.63 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $323.59 | $363.08 | $467.74 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $302.00 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $177.83 | $457.09 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $363.08 | Facility | None | $169.82 | $269.15 | $363.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $281.84 | $281.84 | $363.08 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $63.10 | $63.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $218.78 | $309.03 |
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 $194.98 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $194.98 | $354.81 | $676.08 |
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 $154.88 Median $295.12 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $295.12 | $575.44 |
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 $162.18 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $72.44 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $177.83 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $72.44 | $83.18 |
Where Pennsylvania sits
The same service costs 3.0 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· 30th of 51
$398
AK $794NM $269
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.