How much rates vary
Facilitymedian $32 · 10th to 90th $28 to $40Professionalmedian $32 · 10th to 90th $26 to $37
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 $27.54 Median $30.90 Typical High $37.15 | Facility | None | $27.54 | $30.90 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $37.15 | Professional | None | $27.54 | $30.90 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | None | $26.92 | $30.20 | $35.48 |
AmeriHealth Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
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 $33.88 Median $35.48 Typical High $48.98 | Professional | None | $33.88 | $35.48 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $53.70 | Professional | None | $26.92 | $33.11 | $53.70 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $57.54 | Professional | None | $30.20 | $38.90 | $57.54 |
Geisinger Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $66.07 | Professional | None | $25.70 | $33.88 | $66.07 |
Highmark BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $27.54 Median $30.90 Typical High $34.67 | Facility | None | $27.54 | $30.90 | $34.67 |
Martin's Point Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $37.15 | Professional | None | $27.54 | $31.62 | $37.15 |
Optum Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | None | $26.30 | $26.30 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $34.67 | Professional | None | $25.12 | $26.30 | $34.67 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | None | $26.30 | $26.30 | $36.31 |
12 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $37.15 Median $38.02 Typical High $41.69 | Facility | AF · Specialist physician | $37.15 | $38.02 | $41.69 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $27.54 Median $28.84 Typical High $30.90 | Facility | HO · Master's level | $27.54 | $28.84 | $30.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $31.62 Median $32.36 Typical High $35.48 | Facility | TD · Registered nurse | $31.62 | $32.36 | $35.48 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | AF · Specialist physician | $37.15 | $39.81 | $41.69 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $27.54 Median $29.51 Typical High $31.62 | Professional | HO · Master's level | $27.54 | $29.51 | $31.62 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | TD · Registered nurse | $31.62 | $33.88 | $35.48 |
Martin's Point Setting Facility Modifier AF · Specialist physician Typical Low $37.15 Median $38.02 Typical High $41.69 | Facility | AF · Specialist physician | $37.15 | $38.02 | $41.69 |
Martin's Point Setting Facility Modifier HO · Master's level Typical Low $27.54 Median $28.84 Typical High $30.90 | Facility | HO · Master's level | $27.54 | $28.84 | $30.90 |
Martin's Point Setting Facility Modifier TD · Registered nurse Typical Low $31.62 Median $32.36 Typical High $35.48 | Facility | TD · Registered nurse | $31.62 | $32.36 | $35.48 |
Martin's Point Setting Professional Modifier AF · Specialist physician Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | AF · Specialist physician | $37.15 | $39.81 | $41.69 |
Martin's Point Setting Professional Modifier HO · Master's level Typical Low $27.54 Median $29.51 Typical High $31.62 | Professional | HO · Master's level | $27.54 | $29.51 | $31.62 |
Martin's Point Setting Professional Modifier TD · Registered nurse Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | TD · Registered nurse | $31.62 | $33.88 | $35.48 |
Where Pennsylvania sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 26th of 51
$31.62
AK $54.95AZ $23.44
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.