How much rates vary
Facilitymedian $316 · 10th to 90th $100 to $955Professionalmedian $102 · 10th to 90th $62 to $145
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 $117.49 Median $117.49 Typical High $1,862.09 | Facility | None | $117.49 | $117.49 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $83.18 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $69.18 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
AmeriHealth Setting Facility Modifier None Typical Low $229.09 Median $575.44 Typical High $954.99 | Facility | None | $229.09 | $575.44 | $954.99 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $54.95 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $199.53 | Facility | None | $91.20 | $165.96 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $97.72 Typical High $512.86 | Professional | None (both parts) | $56.23 | $97.72 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $165.96 | Professional | 26 · Professional part | $33.11 | $37.15 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $64.57 Typical High $346.74 | Professional | TC · Technical part | $21.88 | $64.57 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $186.21 | Professional | None (both parts) | $147.91 | $181.97 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $52.48 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $52.48 | $104.71 | $194.98 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $38.02 | $72.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $14.79 | $69.18 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $562.34 | Facility | None | $275.42 | $446.68 | $562.34 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $107.15 | $112.20 | $154.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $181.97 Median $575.44 Typical High $933.25 | Facility | None | $181.97 | $575.44 | $933.25 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $1,862.09 | Facility | None | $117.49 | $117.49 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $83.18 | $102.33 | $117.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $33.11 | $37.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $69.18 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $60.26 | $117.49 | $123.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $53.70 Median $100.00 Typical High $162.18 | Facility | None | $53.70 | $100.00 | $162.18 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $53.70 | $53.70 | $100.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $40.74 | $40.74 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $67.61 | Professional | TC · Technical part | $13.49 | $13.49 | $67.61 |
United Setting Facility Modifier None Typical Low $177.83 Median $380.19 Typical High $436.52 | Facility | None | $177.83 | $380.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $52.48 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $34.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $20.89 | $56.23 | $112.20 |
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 $44.67 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $20.42 | $23.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $51.29 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $20.42 | $23.44 |
Where Pennsylvania sits
The same service costs 3.5 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· 31st of 51
$102
AK $229KY $64.57
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.