How much rates vary
Facilitymedian $19 · 10th to 90th $4 to $135Professionalmedian $19 · 10th to 90th $6 to $22
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 $22.39 Typical High $22.39 | Professional | None | $19.50 | $22.39 | $22.39 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $12.02 Typical High $15.14 | Professional | None | $5.37 | $12.02 | $15.14 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $12.02 | Professional | None | $7.94 | $12.02 | $12.02 |
Geisinger Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.79 | Facility | None | $4.27 | $4.27 | $4.79 |
Geisinger Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $7.41 | Professional | None | $3.72 | $5.01 | $7.41 |
Independence Blue Cross Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $22.39 Typical High $22.39 | Professional | None | $19.50 | $22.39 | $22.39 |
Optum Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Optum Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $10.96 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $12.88 | Professional | None | $3.98 | $3.98 | $12.88 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $10.96 |
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 $4.37 Median $5.13 Typical High $9.77 | Professional | None | $4.37 | $5.13 | $9.77 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $10.96 |
3 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier HN · Bachelor's level + HO · Master's level Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | HN · Bachelor's level + HO · Master's level | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | HO · Master's level | $11.48 | $11.48 | $12.88 |
United Setting Professional Modifier HP · Doctoral level Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | HP · Doctoral level | $11.48 | $11.48 | $12.88 |
Where Pennsylvania sits
The same service costs 12.9 times more in Maryland 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· 10th of 51
$19.50
MD $29.51AL $2.29
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.