How much rates vary
Facilitymedian $117 · 10th to 90th $107 to $724Professionalmedian $115 · 10th to 90th $93 to $126
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 $95.50 Median $112.20 Typical High $128.82 | Facility | None | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $125.89 | Professional | None | $93.33 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $22.39 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $194.98 | Professional | None | $83.18 | $123.03 | $194.98 |
AmeriHealth Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | None | $100.00 | $100.00 | $123.03 |
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 $123.03 Median $125.89 Typical High $169.82 | Professional | None | $123.03 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $125.89 | Professional | None | $83.18 | $120.23 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $107.15 | Professional | None | $44.67 | $44.67 | $107.15 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $251.19 | Professional | None | $93.33 | $125.89 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $131.83 Median $302.00 Typical High $562.34 | Facility | None | $131.83 | $302.00 | $562.34 |
Highmark BCBS Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $151.36 | Professional | None | $117.49 | $131.83 | $151.36 |
Independence Blue Cross Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $123.03 | Professional | None | $100.00 | $104.71 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $128.82 | Facility | None | $95.50 | $112.20 | $128.82 |
Martin's Point Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $125.89 | Professional | None | $93.33 | $109.65 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $56.23 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $22.39 | $25.12 |
Optum Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | None | $120.23 | $120.23 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $125.89 | Professional | None | $97.72 | $120.23 | $125.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $128.82 | Facility | None | $107.15 | $123.03 | $128.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $141.25 | Professional | None | $107.15 | $125.89 | $141.25 |
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 $102.33 Median $120.23 Typical High $158.49 | Professional | None | $102.33 | $120.23 | $158.49 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 59 · Distinct service | $120.23 | $131.83 | $131.83 |
Where Pennsylvania sits
The same service costs 2.3 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· 28th of 51
$115
AK $219KY $93.33
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.