How much rates vary
Facilitymedian $151 · 10th to 90th $19 to $513Professionalmedian $14 · 10th to 90th $14 to $17
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 $14.45 Median $19.05 Typical High $30.20 | Facility | None | $14.45 | $19.05 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | None | $14.45 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $23.44 Typical High $27.54 | Professional | None | $12.30 | $23.44 | $27.54 |
AmeriHealth Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $512.86 | Facility | None | $134.90 | $338.84 | $512.86 |
AmeriHealth Setting Professional Modifier None Typical Low $29.51 Median $446.68 Typical High $3,801.89 | Professional | None | $29.51 | $446.68 | $3,801.89 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Capital Blue Cross Setting Professional Modifier HO · Master's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HO · Master's level | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $40.74 | Professional | None | $10.00 | $13.18 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $52.48 | Professional | None | $12.02 | $12.02 | $52.48 |
Geisinger Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $21.88 | Facility | None | $19.50 | $19.50 | $21.88 |
Geisinger Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $42.66 | Professional | None | $15.85 | $20.89 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $23.44 | Professional | None | $16.98 | $17.78 | $23.44 |
Independence Blue Cross Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $467.74 | Facility | None | $114.82 | $218.78 | $467.74 |
Independence Blue Cross Setting Professional Modifier None Typical Low $380.19 Median $1,096.48 Typical High $3,801.89 | Professional | None | $380.19 | $1,096.48 | $3,801.89 |
Martin's Point Setting Facility Modifier None Typical Low $14.45 Median $19.05 Typical High $40.74 | Facility | None | $14.45 | $19.05 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | None | $14.45 | $17.38 | $17.38 |
Optum Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Optum Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
Oscar Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.62 | Professional | None | $15.14 | $15.14 | $18.62 |
Oscar Health Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
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 $27.54 Median $32.36 Typical High $60.26 | Professional | None | $27.54 | $32.36 | $60.26 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HO · Master's level | $16.60 | $16.60 | $18.62 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HP · Doctoral level | $16.60 | $16.60 | $18.62 |
Where Pennsylvania sits
The same service costs 4.5 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· 40th of 51
$14.45
WY $48.98WV $10.96
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.