How much rates vary
Facilitymedian $1,905 · 10th to 90th $110 to $5,012Professionalmedian $110 · 10th to 90th $102 to $209
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $104.71 Median $117.49 Typical High $1,862.09 | Facility | None | $104.71 | $117.49 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $102.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $21.38 | $23.44 |
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 $107.15 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $107.15 | $154.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $2,818.38 | Facility | None | $1,096.48 | $2,344.23 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $512.86 | Professional | None (both parts) | $93.33 | $125.89 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $123.03 | $141.25 | $158.49 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $85.11 | $100.00 | $194.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
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 $102.33 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $102.33 | $107.15 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $53.70 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $21.38 | $23.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $123.03 | $131.83 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Facility | None | $107.15 | $109.65 | $109.65 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $107.15 | $109.65 | $109.65 |
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 $87.10 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $87.10 | $112.20 | $208.93 |
3 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 TC · Technical part Typical Low $93.33 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $97.72 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $107.15 | $194.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $97.72 | $134.90 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 43rd of 51
$110
AK $282FL $89.13
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.