How much rates vary
Facilitymedian $191 · 10th to 90th $68 to $776Professionalmedian $66 · 10th to 90th $56 to $120
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 $56.23 Median $169.82 Typical High $812.83 | Facility | None | $56.23 | $169.82 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $1,412.54 | Facility | None | $72.44 | $144.54 | $1,412.54 |
AmeriHealth Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | None | $117.49 | $117.49 | $204.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $208.93 Median $5,011.87 Typical High $56,234.13 | Facility | None | $208.93 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $123.03 | Professional | None | $64.57 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $281.84 | Facility | None | $74.13 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $120.23 | Professional | None | $58.88 | $83.18 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $138.04 | Professional | None | $79.43 | $104.71 | $138.04 |
Geisinger Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | None | $64.57 | $79.43 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $398.11 | Facility | None | $125.89 | $204.17 | $398.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $79.43 | Professional | None | $69.18 | $74.13 | $79.43 |
Independence Blue Cross Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $2,884.03 | Facility | None | $66.07 | $138.04 | $2,884.03 |
Independence Blue Cross Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $234.42 | Professional | None | $117.49 | $120.23 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $186.21 Typical High $776.25 | Facility | None | $56.23 | $186.21 | $776.25 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $2,089.30 | Facility | None | $602.56 | $776.25 | $2,089.30 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | None | $97.72 | $97.72 | $169.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $61.66 Median $229.09 Typical High $363.08 | Facility | None | $61.66 | $229.09 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
United Setting Facility Modifier None Typical Low $100.00 Median $208.93 Typical High $245.47 | Facility | None | $100.00 | $208.93 | $245.47 |
United Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $104.71 | Professional | None | $60.26 | $66.07 | $104.71 |
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 PN · Off-campus dept, non-excepted Typical Low $58.88 Median $109.65 Typical High $371.54 | Facility | PN · Off-campus dept, non-excepted | $58.88 | $109.65 | $371.54 |
Where Pennsylvania sits
The same service costs 3.0 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· 46th of 51
$67.61
AK $174FL $58.88
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.