How much rates vary
Facilitymedian $50 · 10th to 90th $25 to $129Professionalmedian $37 · 10th to 90th $23 to $63
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 $21.88 Median $23.99 Typical High $1,412.54 | Facility | None | $21.88 | $23.99 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $25.70 | Professional | None | $20.42 | $22.91 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $39.81 | Professional | None | $34.67 | $37.15 | $39.81 |
AmeriHealth Setting Facility Modifier None Typical Low $29.51 Median $74.13 Typical High $112.20 | Facility | None | $29.51 | $74.13 | $112.20 |
AmeriHealth Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | None | $27.54 | $27.54 | $28.84 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $70.79 | Professional | None | $26.92 | $42.66 | $70.79 |
Geisinger Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $47.86 | Professional | None | $21.88 | $27.54 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $38.02 | Professional | None | $28.18 | $33.11 | $38.02 |
Independence Blue Cross Setting Facility Modifier None Typical Low $24.55 Median $51.29 Typical High $112.20 | Facility | None | $24.55 | $51.29 | $112.20 |
Independence Blue Cross Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $21.88 Median $25.70 Typical High $1,862.09 | Facility | None | $21.88 | $25.70 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $25.70 | Professional | None | $20.42 | $22.91 | $25.70 |
Optum Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $39.81 | Professional | None | $30.20 | $30.90 | $39.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $39.81 | Facility | None | $30.90 | $33.11 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $39.81 | Professional | None | $30.90 | $35.48 | $39.81 |
United Setting Facility Modifier None Typical Low $29.51 Median $63.10 Typical High $72.44 | Facility | None | $29.51 | $63.10 | $72.44 |
United Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $67.61 | Professional | None | $33.88 | $54.95 | $67.61 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AT · Acute treatment Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | AT · Acute treatment | $34.67 | $37.15 | $37.15 |
Highmark BCBS Setting Professional Modifier AT · Acute treatment Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | AT · Acute treatment | $30.20 | $33.11 | $33.11 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 25th of 51
$37.15
AK $74.13DC $26.92
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.