How much rates vary
Facilitymedian $240 · 10th to 90th $71 to $1,413Professionalmedian $71 · 10th to 90th $62 to $209
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 $60.26 Median $70.79 Typical High $1,862.09 | Facility | None | $60.26 | $70.79 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $60.26 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $19.50 | Professional | 26 · Professional part | $16.60 | $18.20 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $52.48 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
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 $63.10 Median $104.71 Typical High $295.12 | Professional | None (both parts) | $63.10 | $104.71 | $295.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $18.20 | $30.20 | $45.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $251.19 | Professional | TC · Technical part | $45.71 | $74.13 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $117.49 Typical High $141.25 | Facility | None | $58.88 | $117.49 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $371.54 | Professional | None (both parts) | $63.10 | $109.65 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $89.13 | Professional | 26 · Professional part | $17.38 | $19.95 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $91.20 Typical High $309.03 | Professional | TC · Technical part | $45.71 | $91.20 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $93.33 | $114.82 | $120.23 |
Geisinger Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $63.10 | $91.20 | $169.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $19.95 | $38.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $66.07 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $851.14 | Facility | None | $478.63 | $724.44 | $851.14 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $1,862.09 | Facility | None | $70.79 | $70.79 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $60.26 | $70.79 | $120.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $19.50 | Professional | 26 · Professional part | $16.60 | $17.78 | $19.50 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $52.48 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $234.42 | Professional | None (both parts) | $50.12 | $75.86 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $63.10 Median $213.80 Typical High $363.08 | Facility | None | $63.10 | $213.80 | $363.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $63.10 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $39.81 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $45.71 | $60.26 | $60.26 |
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 $57.54 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $57.54 | $69.18 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $18.62 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $40.74 | $50.12 | $102.33 |
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 $30.20 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.49 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $13.49 | $14.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.90 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.30 | $14.13 |
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· 45th of 51
$70.79
AK $162TX $51.29
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.