How much rates vary
Facilitymedian $288 · 10th to 90th $132 to $1,820Professionalmedian $148 · 10th to 90th $129 to $275
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 $138.04 Median $177.83 Typical High $912.01 | Facility | None | $138.04 | $177.83 | $912.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $120.23 | Facility | 26 · Professional part | $75.86 | $97.72 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $87.10 | Facility | TC · Technical part | $54.95 | $70.79 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $128.82 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $81.28 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $190.55 | $239.88 | $269.15 |
AmeriHealth Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $147.91 | $147.91 | $169.82 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $81.28 | $102.33 |
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 $128.82 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $128.82 | $229.09 | $346.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $128.82 | $194.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $93.33 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $162.18 | Facility | None | $72.44 | $134.90 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $691.83 | Professional | None (both parts) | $128.82 | $158.49 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $389.05 | Professional | 26 · Professional part | $75.86 | $87.10 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $295.12 | Professional | TC · Technical part | $52.48 | $72.44 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $199.53 | $239.88 | $251.19 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $131.83 | $147.91 | $295.12 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $85.11 | $165.96 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $63.10 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $1,047.13 | Facility | None | $162.18 | $588.84 | $1,047.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $134.90 | $147.91 | $208.93 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $93.33 | $138.04 |
Independence Blue Cross Setting Facility Modifier None Typical Low $831.76 Median $2,238.72 Typical High $8,511.38 | Facility | None | $831.76 | $2,238.72 | $8,511.38 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $147.91 | $147.91 | $158.49 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $81.28 | $81.28 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $912.01 | Facility | None | $138.04 | $199.53 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $128.82 | $141.25 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $72.44 | $79.43 | $95.50 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $61.66 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $151.36 | $158.49 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $257.04 Typical High $407.38 | Facility | None | $123.03 | $257.04 | $407.38 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $123.03 | $123.03 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 26 · Professional part | $70.79 | $70.79 | $75.86 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $120.23 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $120.23 | $141.25 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $64.57 | $120.23 |
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 $63.10 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $66.07 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.30 | $29.51 |
Where Pennsylvania sits
The same service costs 4.0 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
$148
AK $339TX $85.11
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.