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 $575.44 Median $575.44 Typical High $1,862.09 | Facility | None | $575.44 | $575.44 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $630.96 Typical High $1,122.02 | Professional | None | $234.42 | $630.96 | $1,122.02 |
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 $812.83 Median $812.83 Typical High $1,202.26 | Professional | None | $812.83 | $812.83 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $630.96 Typical High $1,905.46 | Facility | None | $151.36 | $630.96 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $501.19 Typical High $691.83 | Professional | None | $151.36 | $501.19 | $691.83 |
Geisinger Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $912.01 | Professional | None | $575.44 | $758.58 | $912.01 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,258.93 Median $6,025.60 Typical High $10,000.00 | Facility | None | $1,258.93 | $6,025.60 | $10,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $1,778.28 | Facility | None | $575.44 | $575.44 | $1,778.28 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $630.96 Typical High $1,122.02 | Professional | None | $234.42 | $630.96 | $1,122.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $707.95 | Professional | None | $389.05 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,445.44 | Professional | None | $524.81 | $691.83 | $1,445.44 |
2 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier HH · Mental health + substance use Typical Low $794.33 Median $2,818.38 Typical High $3,630.78 | Facility | HH · Mental health + substance use | $794.33 | $2,818.38 | $3,630.78 |
Highmark BCBS Setting Professional Modifier JH · Ambulance J to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | JH · Ambulance J to H + RH · Ambulance R to H + SH · Second concurrent infusion | $602.56 | $602.56 | $602.56 |
Where Pennsylvania sits
The same service costs 7.1 times more in Montana than in Oregon. 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· 36th of 51
$676
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.