How much rates vary
Facilitymedian $132 · 10th to 90th $31 to $5,012Professionalmedian $14 · 10th to 90th $12 to $27
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 $13.80 Median $128.82 Typical High $870.96 | Facility | None | $13.80 | $128.82 | $870.96 |
Aetna Setting Facility Modifier 59 · Distinct service Typical Low $97.72 Median $302.00 Typical High $831.76 | Facility | 59 · Distinct service | $97.72 | $302.00 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $18.62 | Professional | None | $12.02 | $13.80 | $18.62 |
AmeriHealth Setting Facility Modifier None Typical Low $933.25 Median $8,511.38 Typical High $14,791.08 | Facility | None | $933.25 | $8,511.38 | $14,791.08 |
AmeriHealth Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $5,011.87 Typical High $56,234.13 | Facility | None | $134.90 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $25.12 | Professional | None | $10.23 | $12.02 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $128.82 | Facility | None | $47.86 | $107.15 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $28.18 | Professional | None | $11.22 | $19.05 | $28.18 |
Geisinger Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None | $18.20 | $18.20 | $21.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $194.98 | Facility | None | $64.57 | $117.49 | $194.98 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $45.71 Median $104.71 Typical High $162.18 | Facility | 59 · Distinct service | $45.71 | $104.71 | $162.18 |
Independence Blue Cross Setting Facility Modifier None Typical Low $67.61 Median $5,754.40 Typical High $13,182.57 | Facility | None | $67.61 | $5,754.40 | $13,182.57 |
Independence Blue Cross Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Facility Modifier None Typical Low $14.45 Median $144.54 Typical High $870.96 | Facility | None | $14.45 | $144.54 | $870.96 |
Martin's Point Setting Facility Modifier 59 · Distinct service Typical Low $97.72 Median $302.00 Typical High $831.76 | Facility | 59 · Distinct service | $97.72 | $302.00 | $831.76 |
Martin's Point Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $19.05 | Professional | None | $12.02 | $13.80 | $19.05 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,412.54 | Facility | None | $812.83 | $1,047.13 | $1,412.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.30 Median $61.66 Typical High $104.71 | Facility | None | $12.30 | $61.66 | $104.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $30.90 | Professional | None | $12.30 | $12.30 | $30.90 |
United Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $158.49 | Facility | None | $64.57 | $138.04 | $158.49 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $28.18 | Professional | None | $12.59 | $18.20 | $28.18 |
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 Facility Modifier XU · Unusual separate service Typical Low $83.18 Median $134.90 Typical High $218.78 | Facility | XU · Unusual separate service | $83.18 | $134.90 | $218.78 |
Where Pennsylvania sits
The same service costs 55.0 times more in Alabama than in New York. 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· 4th of 51
$91.20
AL $741NY $13.49
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.