How much rates vary
Facilitymedian $105 · 10th to 90th $68 to $1,862Professionalmedian $89 · 10th to 90th $78 to $155
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 $93.33 Median $93.33 Typical High $1,412.54 | Facility | None | $93.33 | $93.33 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $75.86 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $38.02 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $40.74 | $46.77 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $93.33 | $93.33 | $138.04 |
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 $79.43 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $79.43 | $131.83 | $190.55 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $60.26 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $67.61 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $134.90 | Facility | None | $61.66 | $109.65 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $426.58 | Professional | None (both parts) | $77.62 | $89.13 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $177.83 | Professional | 26 · Professional part | $34.67 | $40.74 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $245.47 | Professional | TC · Technical part | $43.65 | $47.86 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $123.03 | $147.91 | $154.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $74.13 | $91.20 | $177.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $39.81 | $75.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $51.29 | $93.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $446.68 Typical High $537.03 | Facility | None | $162.18 | $446.68 | $537.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $97.72 | $123.03 | $154.88 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $93.33 | $93.33 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $1,862.09 | Facility | None | $93.33 | $93.33 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $75.86 | $83.18 | $93.33 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $36.31 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $46.77 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $85.11 | $89.13 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $67.61 Median $100.00 Typical High $158.49 | Facility | None | $67.61 | $100.00 | $158.49 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $67.61 | $67.61 | $81.28 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $33.88 | $33.88 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $34.67 | $34.67 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $70.79 | $83.18 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $38.02 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $46.77 | $87.10 |
5 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 $38.02 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $16.60 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $263.03 Typical High $380.19 | Professional | 50 · Both sides | $158.49 | $263.03 | $380.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $38.90 | $40.74 | $46.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $15.49 | $16.60 | $18.62 |
Where Pennsylvania sits
The same service costs 3.0 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· 34th of 51
$89.13
AK $204TX $67.61
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.