How much rates vary
Facilitymedian $479 · 10th to 90th $186 to $5,012Professionalmedian $240 · 10th to 90th $204 to $427
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $229.09 Median $269.15 Typical High $1,862.09 | Facility | None | $229.09 | $269.15 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $72.44 | $75.86 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $154.88 | $181.97 |
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 $229.09 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $229.09 | $331.13 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $125.89 | $199.53 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $218.78 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $398.11 Typical High $478.63 | Facility | None | $204.17 | $398.11 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $1,202.26 | Professional | None (both parts) | $199.53 | $234.42 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $380.19 | Professional | 26 · Professional part | $72.44 | $87.10 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $831.76 | Professional | TC · Technical part | $128.82 | $154.88 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $436.52 | Professional | None (both parts) | $346.74 | $426.58 | $436.52 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $186.21 | $257.04 | $512.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $87.10 | $169.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $173.78 | $346.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $1,862.09 | Facility | None | $269.15 | $269.15 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $72.44 | $75.86 | $83.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $147.91 | $154.88 | $181.97 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $218.78 | $288.40 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Facility | None | $186.21 | $186.21 | $229.09 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $186.21 | $186.21 | $229.09 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $75.86 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $100.00 | $154.88 |
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 $177.83 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $177.83 | $229.09 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $151.36 | $288.40 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | XU · Unusual separate service | $5,011.87 | $5,011.87 | $5,011.87 |
Where Pennsylvania sits
The same service costs 3.7 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· 36th of 51
$240
AK $575TX $155
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.