How much rates vary
Facilitymedian $91 · 10th to 90th $79 to $479Professionalmedian $91 · 10th to 90th $76 to $102
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 $79.43 Median $89.13 Typical High $104.71 | Facility | None | $79.43 | $89.13 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | None | $75.86 | $85.11 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $87.10 | Professional | None | $50.12 | $60.26 | $87.10 |
AmeriHealth Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | None | $75.86 | $75.86 | $97.72 |
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 $91.20 Median $95.50 Typical High $131.83 | Professional | None | $91.20 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $851.14 | Facility | None | $316.23 | $707.95 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $109.65 | Professional | None | $67.61 | $97.72 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | None | $81.28 | $81.28 | $89.13 |
Geisinger Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Facility | None | $85.11 | $85.11 | $102.33 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $204.17 | Professional | None | $70.79 | $100.00 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $1,778.28 | Facility | None | $208.93 | $295.12 | $1,778.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $151.36 | Professional | None | $91.20 | $97.72 | $151.36 |
Independence Blue Cross Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | None | $75.86 | $75.86 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $104.71 | Facility | None | $79.43 | $89.13 | $104.71 |
Martin's Point Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Professional | None | $75.86 | $85.11 | $100.00 |
Optum Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None | $93.33 | $93.33 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $107.15 | Professional | None | $79.43 | $93.33 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $309.03 | Facility | None | $79.43 | $128.82 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $114.82 | Professional | None | $79.43 | $100.00 | $114.82 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $125.89 | Professional | None | $81.28 | $93.33 | $125.89 |
12 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 $100.00 Median $102.33 Typical High $109.65 | Facility | AF · Specialist physician | $100.00 | $102.33 | $109.65 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | HO · Master's level | $75.86 | $75.86 | $83.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $85.11 Median $87.10 Typical High $93.33 | Facility | TD · Registered nurse | $85.11 | $87.10 | $93.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $100.00 Median $104.71 Typical High $138.04 | Professional | AF · Specialist physician | $100.00 | $104.71 | $138.04 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $79.43 Typical High $104.71 | Professional | HO · Master's level | $75.86 | $79.43 | $104.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $85.11 Median $89.13 Typical High $117.49 | Professional | TD · Registered nurse | $85.11 | $89.13 | $117.49 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $100.00 Median $102.33 Typical High $109.65 | Facility | AF · Specialist physician | $100.00 | $102.33 | $109.65 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | HO · Master's level | $75.86 | $75.86 | $83.18 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $85.11 Median $87.10 Typical High $93.33 | Facility | TD · Registered nurse | $85.11 | $87.10 | $93.33 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $100.00 Median $104.71 Typical High $138.04 | Professional | AF · Specialist physician | $100.00 | $104.71 | $138.04 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $79.43 Typical High $104.71 | Professional | HO · Master's level | $75.86 | $79.43 | $104.71 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $85.11 Median $89.13 Typical High $117.49 | Professional | TD · Registered nurse | $85.11 | $89.13 | $117.49 |
Where Pennsylvania sits
The same service costs 2.2 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· 26th of 51
$91.20
AK $158AZ $70.79
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.