How much rates vary
Facilitymedian $631 · 10th to 90th $257 to $1,413Professionalmedian $447 · 10th to 90th $316 to $776
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 $436.52 Median $645.65 Typical High $1,412.54 | Facility | None | $436.52 | $645.65 | $1,412.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $100.00 | Facility | 26 · Professional part | $54.95 | $69.18 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $489.78 Typical High $933.25 | Facility | TC · Technical part | $363.08 | $489.78 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $371.54 | $416.87 | $562.34 |
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 $323.59 Median $371.54 Typical High $489.78 | Professional | TC · Technical part | $323.59 | $371.54 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $436.52 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $85.11 | $109.65 |
AmeriHealth Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $478.63 | $478.63 | $616.60 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $58.88 | $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 $436.52 Median $616.60 Typical High $954.99 | Professional | None (both parts) | $436.52 | $616.60 | $954.99 |
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 $380.19 Median $537.03 Typical High $812.83 | Professional | TC · Technical part | $380.19 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,148.15 | Facility | None | $489.78 | $954.99 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $2,344.23 | Professional | None (both parts) | $223.87 | $426.58 | $2,344.23 |
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 $169.82 Median $371.54 Typical High $2,041.74 | Professional | TC · Technical part | $169.82 | $371.54 | $2,041.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $831.76 Typical High $851.14 | Professional | None (both parts) | $660.69 | $831.76 | $851.14 |
Geisinger Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $426.58 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $426.58 | $489.78 | $977.24 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $63.10 | $123.03 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $407.38 Typical High $812.83 | Professional | TC · Technical part | $125.89 | $407.38 | $812.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,071.52 | Facility | None | $229.09 | $602.56 | $1,071.52 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $575.44 | Professional | None (both parts) | $338.84 | $501.19 | $575.44 |
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 $630.96 Median $1,698.24 Typical High $3,548.13 | Facility | None | $630.96 | $1,698.24 | $3,548.13 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $478.63 | $478.63 | $524.81 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $58.88 | $58.88 | $63.10 |
Martin's Point Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,513.56 | Facility | None | $446.68 | $691.83 | $1,513.56 |
Martin's Point 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 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $562.34 Typical High $1,230.27 | Facility | TC · Technical part | $363.08 | $562.34 | $1,230.27 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $371.54 | $416.87 | $537.03 |
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 $323.59 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $363.08 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $524.81 Typical High $549.54 | Professional | None (both parts) | $199.53 | $524.81 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $426.58 | Facility | None | $165.96 | $269.15 | $426.58 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $316.23 | $316.23 | $426.58 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $67.61 | $67.61 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $245.47 | $371.54 |
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 $204.17 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $204.17 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $354.81 Typical High $707.95 | Professional | TC · Technical part | $162.18 | $354.81 | $707.95 |
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 $186.21 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $85.11 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $186.21 | $208.93 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $85.11 | $97.72 |
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· 34th of 51
$447
AK $933NM $309
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.