How much rates vary
Facilitymedian $427 · 10th to 90th $155 to $1,862Professionalmedian $170 · 10th to 90th $123 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 $138.04 Median $165.96 Typical High $1,862.09 | Facility | None | $138.04 | $165.96 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $138.04 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $24.55 | $25.70 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $123.03 | $138.04 |
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 $169.82 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $169.82 | $208.93 | $302.00 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $38.02 | $53.70 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $446.68 | Facility | None | $154.88 | $371.54 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $169.82 Typical High $812.83 | Professional | None (both parts) | $107.15 | $169.82 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $141.25 | Professional | 26 · Professional part | $25.70 | $29.51 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $691.83 | Professional | TC · Technical part | $79.43 | $144.54 | $691.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $234.42 | $288.40 | $302.00 |
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 $165.96 Typical High $338.84 | Professional | None (both parts) | $83.18 | $165.96 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $31.62 | $58.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $44.67 | $138.04 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $1,862.09 | Facility | None | $165.96 | $165.96 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $138.04 | $141.25 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $25.70 | $28.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
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 $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 $158.49 | Professional | None (both parts) | $81.28 | $81.28 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $131.83 | Professional | TC · Technical part | $36.31 | $36.31 | $131.83 |
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 $131.83 Typical High $251.19 | Professional | None (both parts) | $93.33 | $131.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $27.54 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $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 $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $70.79 | $83.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 28th of 51
$170
AK $324KY $115
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.