How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $181.97 Median $181.97 Typical High $1,862.09 | Facility | None | $181.97 | $181.97 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $218.78 | Professional | None | $181.97 | $186.21 | $218.78 |
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 $229.09 Median $371.54 Typical High $446.68 | Professional | None | $229.09 | $371.54 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $416.87 | Professional | None | $218.78 | $239.88 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $416.87 | Professional | None | $234.42 | $323.59 | $416.87 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $436.52 | Professional | None | $208.93 | $245.47 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $1,862.09 | Facility | None | $181.97 | $181.97 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | None | $181.97 | $186.21 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $524.81 Typical High $524.81 | Professional | None | $269.15 | $524.81 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $281.84 | Facility | None | $229.09 | $281.84 | $281.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | None | $229.09 | $229.09 | $281.84 |
United Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $354.81 | Professional | None | $194.98 | $229.09 | $354.81 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 25 · Same-day visit | $354.81 | $354.81 | $354.81 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in New York. 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· 35th of 51
$240
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.