How much rates vary
Facilitymedian $26 · 10th to 90th $11 to $141Professionalmedian $14 · 10th to 90th $10 to $27
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 $10.96 Median $16.22 Typical High $66.07 | Facility | None | $10.96 | $16.22 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $14.79 | Professional | None | $10.23 | $12.88 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $20.89 | Professional | None | $14.79 | $15.85 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
AmeriHealth Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $17.38 | Professional | None | $13.80 | $16.22 | $17.38 |
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 $14.79 Typical High $34.67 | Professional | None | $14.13 | $14.79 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $17.78 | Professional | None | $10.96 | $12.30 | $17.78 |
Emblem Health Setting Professional Modifier None Typical Low $10.00 Median $23.44 Typical High $27.54 | Professional | None | $10.00 | $23.44 | $27.54 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $26.92 | Professional | None | $12.02 | $15.85 | $26.92 |
Highmark BCBS Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $177.83 | Facility | None | $64.57 | $81.28 | $177.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $19.95 | Professional | None | $13.49 | $15.85 | $19.95 |
Independence Blue Cross Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $891.25 | Facility | None | $38.90 | $53.70 | $891.25 |
Independence Blue Cross Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $17.38 | Professional | None | $13.80 | $16.22 | $17.38 |
Martin's Point Setting Facility Modifier None Typical Low $10.96 Median $17.78 Typical High $77.62 | Facility | None | $10.96 | $17.78 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $13.80 | Professional | None | $10.23 | $12.88 | $13.80 |
Optum Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Oscar Health Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $28.18 | Professional | None | $14.79 | $15.85 | $28.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.47 Median $20.42 Typical High $38.02 | Facility | None | $10.47 | $20.42 | $38.02 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $15.14 | Professional | None | $10.47 | $14.45 | $15.14 |
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 $10.96 Median $13.80 Typical High $18.62 | Professional | None | $10.96 | $13.80 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $14.79 Median $15.85 Typical High $23.99 | Professional | 25 · Same-day visit | $14.79 | $15.85 | $23.99 |
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· 29th of 51
$13.80
AK $31.62DC $11.48
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.