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 $602.56 Median $602.56 Typical High $1,862.09 | Facility | None | $602.56 | $602.56 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $758.58 | Professional | None | $602.56 | $616.60 | $758.58 |
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 $758.58 Median $1,230.27 Typical High $1,698.24 | Professional | None | $758.58 | $1,230.27 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,318.26 | Professional | None | $724.44 | $812.83 | $1,318.26 |
Emblem Health Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,584.89 | Professional | None | $794.33 | $1,071.52 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,479.11 | Professional | None | $691.83 | $831.76 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $4,570.88 | Professional | None | $1,000.00 | $1,348.96 | $4,570.88 |
Martin's Point Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,862.09 | Facility | None | $602.56 | $602.56 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $724.44 | Professional | None | $602.56 | $616.60 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,737.80 | Professional | None | $776.25 | $1,000.00 | $1,737.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Facility | None | $758.58 | $933.25 | $933.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $933.25 | Professional | None | $758.58 | $776.25 | $933.25 |
United Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,174.90 | Professional | None | $660.69 | $758.58 | $1,174.90 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 25 · Same-day visit | $660.69 | $660.69 | $660.69 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 34th of 51
$794
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.