How much rates vary
Facilitymedian $575 · 10th to 90th $302 to $3,236Professionalmedian $372 · 10th to 90th $316 to $631
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 $331.13 Median $398.11 Typical High $1,412.54 | Facility | None | $331.13 | $398.11 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $309.03 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $40.74 | $44.67 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $302.00 | $354.81 |
AmeriHealth Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $46.77 | $77.62 |
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 $354.81 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $354.81 | $549.54 | $794.33 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $74.13 | $112.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $316.23 | $467.74 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $954.99 | Facility | None | $398.11 | $794.33 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $1,949.84 | Professional | None (both parts) | $338.84 | $346.74 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $218.78 | Professional | 26 · Professional part | $42.66 | $48.98 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $1,698.24 | Professional | TC · Technical part | $295.12 | $309.03 | $1,698.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $549.54 | $691.83 | $707.95 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $275.42 | $398.11 | $741.31 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $47.86 | $93.33 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $354.81 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $3,019.95 | Facility | None | $645.65 | $645.65 | $3,019.95 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $48.98 | $79.43 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Facility | None | $3,235.94 | $3,235.94 | $4,073.80 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $46.77 | $46.77 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $1,862.09 | Facility | None | $331.13 | $398.11 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $309.03 | $338.84 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $43.65 | $47.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $295.12 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $346.74 | $436.52 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $575.44 | Facility | None | $251.19 | $363.08 | $575.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $251.19 | $251.19 | $346.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $39.81 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $213.80 | $213.80 | $302.00 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $2,884.03 | Facility | None | $1,174.90 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $288.40 | $346.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $302.00 | $575.44 |
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 $165.96 Median $169.82 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $67.61 | $79.43 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $169.82 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $169.82 | $199.53 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $67.61 | $79.43 |
Where Pennsylvania sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 33rd of 51
$372
AK $813NM $275
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.