How much rates vary
Facilitymedian $295 · 10th to 90th $155 to $1,096Professionalmedian $158 · 10th to 90th $126 to $257
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 $158.49 Median $331.13 Typical High $1,096.48 | Facility | None | $158.49 | $331.13 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $138.04 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 26 · Professional part | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $69.18 | $79.43 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $147.91 | $251.19 | $251.19 |
AmeriHealth Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $83.18 | $107.15 |
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 $812.83 Median $812.83 Typical High $56,234.13 | Professional | None (both parts) | $812.83 | $812.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $131.83 | $204.17 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $112.20 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $229.09 | Facility | None | $104.71 | $190.55 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $177.83 Typical High $776.25 | Professional | None (both parts) | $117.49 | $177.83 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $389.05 | Professional | 26 · Professional part | $75.86 | $89.13 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $89.13 Typical High $389.05 | Professional | TC · Technical part | $40.74 | $89.13 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $223.87 | $275.42 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $114.82 | $169.82 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $91.20 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $33.11 | $77.62 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $676.08 | Facility | None | $288.40 | $323.59 | $676.08 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $87.10 | $120.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $954.99 | Facility | None | $758.58 | $758.58 | $954.99 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $83.18 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $1,096.48 | Facility | None | $158.49 | $323.59 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $138.04 | $158.49 | $177.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $75.86 | $77.62 | $85.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $69.18 | $79.43 | $93.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $144.54 | $181.97 | $251.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $457.09 | Facility | None | $125.89 | $269.15 | $457.09 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $125.89 | $125.89 | $154.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $75.86 | Professional | TC · Technical part | $26.92 | $26.92 | $75.86 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $112.20 | $165.96 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $83.18 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $38.02 | $83.18 | $165.96 |
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 $70.79 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $31.62 | $35.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $79.43 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $31.62 | $35.48 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 39th of 51
$158
AK $398TX $102
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.