How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $3,090Professionalmedian $692 · 10th to 90th $490 to $1,175
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 $588.84 Median $691.83 Typical High $1,862.09 | Facility | None | $588.84 | $691.83 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $524.81 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $218.78 Typical High $239.88 | Professional | 26 · Professional part | $199.53 | $218.78 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $446.68 | Professional | TC · Technical part | $331.13 | $380.19 | $446.68 |
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 $691.83 Median $912.01 Typical High $1,174.90 | Professional | None (both parts) | $691.83 | $912.01 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | 26 · Professional part | $218.78 | $316.23 | $446.68 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $794.33 | Professional | TC · Technical part | $467.74 | $549.54 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $1,380.38 | Facility | None | $501.19 | $1,148.15 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $3,715.35 | Professional | None (both parts) | $354.81 | $660.69 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $245.47 Typical High $1,096.48 | Professional | 26 · Professional part | $204.17 | $245.47 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $446.68 Typical High $2,570.40 | Professional | TC · Technical part | $147.91 | $446.68 | $2,570.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,288.25 Typical High $1,348.96 | Professional | None (both parts) | $1,071.52 | $1,288.25 | $1,348.96 |
Geisinger Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $323.59 Median $741.31 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $741.31 | $1,380.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $478.63 | Professional | 26 · Professional part | $218.78 | $245.47 | $478.63 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $524.81 Typical High $977.24 | Professional | TC · Technical part | $87.10 | $524.81 | $977.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
Martin's Point Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,862.09 | Facility | None | $691.83 | $691.83 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $549.54 | $602.56 | $691.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $218.78 Typical High $239.88 | Professional | 26 · Professional part | $204.17 | $218.78 | $239.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $446.68 | Professional | TC · Technical part | $331.13 | $380.19 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $380.19 | $831.76 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,047.13 | Facility | None | $346.74 | $645.65 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $346.74 | $346.74 | $645.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $218.78 | $281.84 | $281.84 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $426.58 | Professional | TC · Technical part | $69.18 | $69.18 | $426.58 |
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 $346.74 Median $562.34 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $562.34 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $190.55 | $229.09 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $147.91 | $354.81 | $660.69 |
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 $263.03 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $263.03 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $120.23 Typical High $138.04 | Professional | 53 · Discontinued | $104.71 | $120.23 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $263.03 | $295.12 | $338.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $120.23 Typical High $138.04 | Professional | 53 · Discontinued | $104.71 | $120.23 | $138.04 |
Where Pennsylvania sits
The same service costs 3.2 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· 26th of 51
$692
AK $1,445KY $447
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.