How much rates vary
Facilitymedian $93 · 10th to 90th $60 to $5,012Professionalmedian $81 · 10th to 90th $60 to $158
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 $58.88 Median $66.07 Typical High $1,412.54 | Facility | None | $58.88 | $66.07 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $83.18 | Professional | None | $58.88 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $32.36 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $147.91 | Professional | None | $64.57 | $100.00 | $147.91 |
AmeriHealth Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $91.20 | Professional | None | $81.28 | $89.13 | $91.20 |
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 $81.28 Median $131.83 Typical High $165.96 | Professional | None | $81.28 | $131.83 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $114.82 | Professional | None | $70.79 | $77.62 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $177.83 | Professional | None | $87.10 | $131.83 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $162.18 | Professional | None | $83.18 | $91.20 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $141.25 | Professional | None | $72.44 | $89.13 | $141.25 |
Independence Blue Cross Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | None | $81.28 | $89.13 | $89.13 |
Martin's Point Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $1,862.09 | Facility | None | $58.88 | $66.07 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | None | $58.88 | $66.07 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $31.62 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $165.96 | Professional | None | $87.10 | $93.33 | $165.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $93.33 | Facility | None | $74.13 | $85.11 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | None | $74.13 | $85.11 | $93.33 |
United Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $346.74 | Facility | None | $141.25 | $295.12 | $346.74 |
United Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $112.20 | Professional | None | $67.61 | $79.43 | $112.20 |
4 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 25 · Same-day visit Typical Low $57.54 Median $57.54 Typical High $104.71 | Professional | 25 · Same-day visit | $57.54 | $57.54 | $104.71 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 33 · Preventive service | $75.86 | $75.86 | $89.13 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | 25 · Same-day visit | $69.18 | $81.28 | $104.71 |
Highmark BCBS Setting Professional Modifier 33 · Preventive service Typical Low $75.86 Median $87.10 Typical High $97.72 | Professional | 33 · Preventive service | $75.86 | $87.10 | $97.72 |
Where Pennsylvania sits
The same service costs 2.8 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· 27th of 51
$81.28
AK $182NY $64.57
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.