How much rates vary
Facilitymedian $26 · 10th to 90th $21 to $363Professionalmedian $22 · 10th to 90th $19 to $25
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 $19.50 Median $28.18 Typical High $40.74 | Facility | None | $19.50 | $28.18 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | None | $19.50 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $33.88 | Professional | None | $19.05 | $27.54 | $33.88 |
AmeriHealth Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $3,715.35 | Professional | None | $588.84 | $588.84 | $3,715.35 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $60.26 | Professional | None | $20.89 | $23.99 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $79.43 | Professional | None | $24.55 | $24.55 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $23.44 | Facility | None | $21.38 | $21.38 | $23.44 |
Geisinger Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $47.86 | Professional | None | $17.38 | $22.91 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Highmark BCBS Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $25.70 | Professional | None | $18.20 | $24.55 | $25.70 |
Independence Blue Cross Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $4,677.35 | Professional | None | $323.59 | $512.86 | $4,677.35 |
Martin's Point Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $54.95 | Facility | None | $19.50 | $28.18 | $54.95 |
Martin's Point Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | None | $19.50 | $21.88 | $21.88 |
Optum Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | None | $18.20 | $18.20 | $33.11 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $346.74 | Facility | None | $141.25 | $295.12 | $346.74 |
United Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $89.13 | Professional | None | $40.74 | $47.86 | $89.13 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
2 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HO · Master's level | $30.20 | $30.20 | $33.11 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HP · Doctoral level | $30.20 | $30.20 | $33.11 |
Where Pennsylvania sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 34th of 51
$21.88
WY $70.79WV $14.79
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.