How much rates vary
Facilitymedian $295 · 10th to 90th $148 to $1,862Professionalmedian $174 · 10th to 90th $117 to $288
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 $169.82 Median $204.17 Typical High $1,862.09 | Facility | None | $169.82 | $204.17 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $151.36 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $27.54 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $147.91 | $173.78 |
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 $147.91 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $147.91 | $218.78 | $316.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $44.67 | $69.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $173.78 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $426.58 | Facility | None | $194.98 | $354.81 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $831.76 | Professional | None (both parts) | $104.71 | $165.96 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $138.04 | Professional | 26 · Professional part | $26.92 | $30.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $602.56 | Professional | TC · Technical part | $79.43 | $138.04 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $208.93 | $257.04 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $83.18 | $151.36 | $309.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $30.90 | $58.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $44.67 | $120.23 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $851.14 | Facility | None | $295.12 | $346.74 | $851.14 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $28.18 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $1,862.09 | Facility | None | $204.17 | $204.17 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $151.36 | $173.78 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $27.54 | $30.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $147.91 | $173.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $85.11 | $204.17 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $81.28 Median $213.80 Typical High $363.08 | Facility | None | $81.28 | $213.80 | $363.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $81.28 | $81.28 | $169.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $50.12 | $50.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $141.25 | Professional | TC · Technical part | $30.90 | $30.90 | $141.25 |
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 $93.33 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $93.33 | $138.04 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $28.18 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $109.65 | $208.93 |
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 $75.86 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $34.67 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $34.67 | $40.74 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 32nd of 51
$174
AK $347NM $120
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.