How much rates vary
Facilitymedian $372 · 10th to 90th $229 to $3,090Professionalmedian $269 · 10th to 90th $234 to $501
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 $251.19 Median $331.13 Typical High $2,089.30 | Facility | None | $251.19 | $331.13 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $151.36 Median $190.55 Typical High $234.42 | Facility | 26 · Professional part | $151.36 | $190.55 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $162.18 | Facility | TC · Technical part | $89.13 | $117.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $234.42 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $144.54 | $162.18 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $245.47 | $245.47 | $288.40 |
AmeriHealth Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $269.15 | $269.15 | $323.59 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 26 · Professional part | $162.18 | $162.18 | $194.98 |
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 $239.88 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $239.88 | $407.38 | $616.60 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $251.19 Typical High $380.19 | Professional | 26 · Professional part | $154.88 | $251.19 | $380.19 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $151.36 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $269.15 | Facility | None | $120.23 | $218.78 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $1,230.27 | Professional | None (both parts) | $234.42 | $295.12 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $758.58 | Professional | 26 · Professional part | $147.91 | $173.78 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $467.74 | Professional | TC · Technical part | $85.11 | $123.03 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $354.81 | $426.58 | $457.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $239.88 | $269.15 | $524.81 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $151.36 | $169.82 | $323.59 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $104.71 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $1,071.52 Typical High $1,862.09 | Facility | None | $269.15 | $1,071.52 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $251.19 | $281.84 | $416.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $275.42 | Professional | 26 · Professional part | $158.49 | $181.97 | $275.42 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,819.70 Median $4,897.79 Typical High $13,182.57 | Facility | None | $1,819.70 | $4,897.79 | $13,182.57 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $269.15 | $269.15 | $302.00 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | 26 · Professional part | $162.18 | $162.18 | $186.21 |
Martin's Point Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $2,137.96 | Facility | None | $251.19 | $371.54 | $2,137.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $234.42 | $257.04 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $158.49 Typical High $190.55 | Professional | 26 · Professional part | $144.54 | $158.49 | $190.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $104.71 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $275.42 | $288.40 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $354.81 | Facility | None | $199.53 | $239.88 | $354.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $229.09 | $229.09 | $239.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $141.25 | $141.25 | $151.36 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $87.10 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,258.93 | Facility | None | $512.86 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $223.87 | $257.04 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $138.04 | $162.18 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $87.10 | $102.33 | $194.98 |
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 $114.82 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $47.86 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $120.23 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $47.86 | $53.70 |
Where Pennsylvania sits
The same service costs 3.3 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· 31st of 51
$269
AK $589TX $178
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.