How much rates vary
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 |
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 $19.95 Typical High $52.48 | Professional | None | $19.05 | $19.95 | $52.48 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | None | $15.49 | $15.85 | $15.85 |
Geisinger Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Facility | None | $19.05 | $19.05 | $20.89 |
Geisinger Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $23.99 | Professional | None | $15.49 | $19.50 | $23.99 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.76 |
Oscar Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | None | $8.32 | $8.32 | $9.12 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $22.39 | Professional | None | $8.51 | $10.47 | $22.39 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.76 |
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 $8.32 Median $8.32 Typical High $9.12 | Professional | HO · Master's level | $8.32 | $8.32 | $9.12 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | HP · Doctoral level | $8.32 | $8.32 | $9.12 |
Where Pennsylvania sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 16th of 51
$21.88
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.