How much rates vary
Facilitymedian $1,047 · 10th to 90th $513 to $4,266Professionalmedian $550 · 10th to 90th $479 to $955
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 $512.86 Median $602.56 Typical High $1,862.09 | Facility | None | $512.86 | $602.56 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $457.09 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $123.03 | Professional | 26 · Professional part | $104.71 | $114.82 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $354.81 | $407.38 | $478.63 |
AmeriHealth Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $120.23 | $120.23 | $204.17 |
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 $537.03 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $537.03 | $812.83 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $190.55 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $190.55 | $288.40 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $616.60 Typical High $870.96 | Professional | TC · Technical part | $416.87 | $616.60 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $1,258.93 | Facility | None | $537.03 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $537.03 Typical High $2,818.38 | Professional | None (both parts) | $512.86 | $537.03 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $562.34 | Professional | 26 · Professional part | $112.20 | $128.82 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $407.38 Typical High $2,290.87 | Professional | TC · Technical part | $389.05 | $407.38 | $2,290.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $1,047.13 | Professional | None (both parts) | $812.83 | $1,000.00 | $1,047.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $602.56 | $1,096.48 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $125.89 | $239.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $870.96 | Professional | TC · Technical part | $323.59 | $467.74 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $16,982.44 | Facility | None | $3,019.95 | $3,019.95 | $16,982.44 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $120.23 | $128.82 | $208.93 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,466.84 | Facility | None | $3,548.13 | $3,548.13 | $4,466.84 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $120.23 | $120.23 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $1,862.09 | Facility | None | $512.86 | $602.56 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $467.74 | $512.86 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $114.82 | $123.03 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $363.08 | $407.38 | $478.63 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $537.03 | $562.34 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $1,258.93 | Facility | None | $398.11 | $794.33 | $1,258.93 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $398.11 | $398.11 | $524.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 26 · Professional part | $104.71 | $104.71 | $114.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $295.12 | $295.12 | $407.38 |
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 $436.52 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $436.52 | $524.81 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $120.23 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $331.13 | $407.38 | $758.58 |
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 $251.19 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $251.19 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $100.00 | $104.71 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $251.19 | $257.04 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $100.00 | $104.71 | $120.23 |
Where Pennsylvania sits
The same service costs 3.1 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· 35th of 51
$550
AK $1,259TX $407
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.