How much rates vary
Facilitymedian $309 · 10th to 90th $132 to $1,175Professionalmedian $162 · 10th to 90th $141 to $282
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 $141.25 Median $162.18 Typical High $1,862.09 | Facility | None | $141.25 | $162.18 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $141.25 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $91.20 | Professional | 26 · Professional part | $79.43 | $85.11 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $60.26 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None (both parts) | $141.25 | $141.25 | $144.54 |
AmeriHealth Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $1,174.90 | Facility | None | $213.80 | $416.87 | $1,174.90 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $138.04 | $158.49 | $173.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $89.13 | $154.88 |
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 $144.54 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $144.54 | $239.88 | $363.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $141.25 | $218.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $97.72 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $190.55 | Facility | None | $81.28 | $158.49 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $741.31 | Professional | None (both parts) | $144.54 | $165.96 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $426.58 | Professional | 26 · Professional part | $83.18 | $95.50 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $70.79 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $213.80 | $257.04 | $275.42 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $141.25 | $162.18 | $323.59 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $93.33 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $67.61 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $478.63 | Facility | None | $162.18 | $162.18 | $478.63 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $173.78 | $190.55 | $190.55 |
Independence Blue Cross Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $1,122.02 | Facility | None | $213.80 | $416.87 | $1,122.02 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $138.04 | $158.49 | $173.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $89.13 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $1,862.09 | Facility | None | $162.18 | $162.18 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $141.25 | $144.54 | $162.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $79.43 | $83.18 | $91.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $60.26 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $74.13 | $77.62 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $194.98 | Facility | None | $107.15 | $131.83 | $194.98 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $131.83 | $131.83 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 26 · Professional part | $79.43 | $79.43 | $85.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $51.29 | $51.29 | $61.66 |
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 $128.82 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $128.82 | $151.36 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $63.10 | $117.49 |
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 $69.18 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $28.84 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $72.44 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $28.84 | $32.36 |
Where Pennsylvania sits
The same service costs 3.6 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· 29th of 51
$162
AK $380TX $105
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.