How much rates vary
Facilitymedian $380 · 10th to 90th $148 to $1,862Professionalmedian $151 · 10th to 90th $117 to $263
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 $147.91 Median $173.78 Typical High $1,862.09 | Facility | None | $147.91 | $173.78 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $134.90 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $26.30 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $123.03 | $147.91 |
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 $134.90 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $134.90 | $208.93 | $309.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $43.65 | $67.61 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $371.54 | Facility | None | $165.96 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $660.69 | Professional | None (both parts) | $104.71 | $147.91 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $138.04 | Professional | 26 · Professional part | $25.70 | $29.51 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $120.23 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $186.21 | $234.42 | $239.88 |
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 $81.28 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $81.28 | $138.04 | $281.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $30.20 | $56.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $44.67 | $109.65 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 26 · Professional part | $26.92 | $26.92 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,862.09 | Facility | None | $173.78 | $173.78 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $134.90 | $151.36 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $26.30 | $28.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $123.03 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $85.11 | $162.18 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $81.28 Median $371.54 Typical High $645.65 | Facility | None | $81.28 | $371.54 | $645.65 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $81.28 | $81.28 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $50.12 | $50.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $120.23 | Professional | TC · Technical part | $30.90 | $30.90 | $120.23 |
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 $91.20 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $91.20 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $27.54 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $104.71 | $199.53 |
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 $66.07 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $30.20 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $75.86 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $30.20 | $34.67 |
Where Pennsylvania sits
The same service costs 3.2 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· 37th of 51
$151
AK $324TX $102
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.