How much rates vary
Facilitymedian $23 · 10th to 90th $19 to $631Professionalmedian $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 $17.38 Median $21.88 Typical High $26.30 | Professional | None | $17.38 | $21.88 | $26.30 |
AmeriHealth Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $2,570.40 | Professional | None | $389.05 | $575.44 | $2,570.40 |
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 $19.05 Median $22.91 Typical High $39.81 | Professional | None | $19.05 | $22.91 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $50.12 | Professional | None | $18.20 | $18.20 | $50.12 |
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 $40.74 | Professional | None | $15.85 | $20.89 | $40.74 |
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 Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $2,398.83 | Professional | None | $389.05 | $602.56 | $2,398.83 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $21.38 | Professional | None | $16.22 | $16.22 | $21.38 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $18.20 |
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 $245.47 Median $524.81 Typical High $602.56 | Facility | None | $245.47 | $524.81 | $602.56 |
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 HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $18.20 |
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 $19.50 Median $19.50 Typical High $21.38 | Professional | HO · Master's level | $19.50 | $19.50 | $21.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | HP · Doctoral level | $19.50 | $19.50 | $21.38 |
Where Pennsylvania sits
The same service costs 3.4 times more in Wyoming than in Alabama. 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· 31st of 51
$21.88
WY $48.98AL $14.45
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.