How much rates vary
Facilitymedian $59 · 10th to 90th $54 to $69Professionalmedian $56 · 10th to 90th $48 to $66
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 $53.70 Median $57.54 Typical High $66.07 | Facility | None | $53.70 | $57.54 | $66.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $29.51 Typical High $32.36 | Facility | 52 · Reduced service | $26.30 | $29.51 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $12.88 | Facility | 53 · Discontinued | $10.72 | $11.75 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | None | $47.86 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $11.48 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | None | $38.90 | $38.90 | $51.29 |
AmeriHealth Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | None | $40.74 | $40.74 | $50.12 |
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 Typical Low $54.95 Median $57.54 Typical High $85.11 | Professional | None | $54.95 | $57.54 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $100.00 | Professional | None | $47.86 | $60.26 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
Geisinger Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $64.57 | Facility | None | $58.88 | $58.88 | $64.57 |
Geisinger Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $114.82 | Professional | None | $41.69 | $60.26 | $114.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $1,258.93 | Professional | None | $48.98 | $66.07 | $1,258.93 |
Independence Blue Cross Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | None | $40.74 | $50.12 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $67.61 | Facility | None | $53.70 | $58.88 | $67.61 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $29.51 Typical High $32.36 | Facility | 52 · Reduced service | $26.30 | $29.51 | $32.36 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $12.88 | Facility | 53 · Discontinued | $10.72 | $11.75 | $12.88 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | None | $47.86 | $56.23 | $63.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $28.84 | $31.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $11.48 | $12.59 |
Optum Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Oscar Health Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $69.18 | Professional | None | $58.88 | $64.57 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $66.07 | Facility | None | $54.95 | $64.57 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $72.44 | Professional | None | $54.95 | $66.07 | $72.44 |
United Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $112.20 | Professional | None | $50.12 | $58.88 | $112.20 |
13 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 Facility Modifier AF · Specialist physician Typical Low $63.10 Median $64.57 Typical High $70.79 | Facility | AF · Specialist physician | $63.10 | $64.57 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $47.86 Typical High $52.48 | Facility | HO · Master's level | $47.86 | $47.86 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $53.70 Median $54.95 Typical High $58.88 | Facility | TD · Registered nurse | $53.70 | $54.95 | $58.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | AF · Specialist physician | $63.10 | $66.07 | $70.79 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $52.48 | Professional | HO · Master's level | $47.86 | $50.12 | $52.48 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | TD · Registered nurse | $53.70 | $56.23 | $60.26 |
Highmark BCBS Setting Facility Modifier GO · Occupational therapy plan Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | GO · Occupational therapy plan | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $63.10 Median $64.57 Typical High $70.79 | Facility | AF · Specialist physician | $63.10 | $64.57 | $70.79 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $47.86 Typical High $52.48 | Facility | HO · Master's level | $47.86 | $47.86 | $52.48 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $53.70 Median $54.95 Typical High $58.88 | Facility | TD · Registered nurse | $53.70 | $54.95 | $58.88 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | AF · Specialist physician | $63.10 | $66.07 | $70.79 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $50.12 Typical High $52.48 | Professional | HO · Master's level | $47.86 | $50.12 | $52.48 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | TD · Registered nurse | $53.70 | $56.23 | $60.26 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 27th of 51
$56.23
AK $110AZ $42.66
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.