How much rates vary
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 $0.08 Median $0.08 Typical High $0.10 | Facility | None | $0.08 | $0.08 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | None | $0.08 | $0.10 | $0.10 |
AmeriHealth Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
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 $0.14 Median $0.15 Typical High $0.15 | Professional | None | $0.14 | $0.15 | $0.15 |
Cigna Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Emblem Health Setting Professional Modifier None Typical Low $0.20 Median $0.22 Typical High $0.28 | Professional | None | $0.20 | $0.22 | $0.28 |
Geisinger Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Geisinger Setting Professional Modifier None Typical Low $0.09 Median $0.10 Typical High $0.15 | Professional | None | $0.09 | $0.10 | $0.15 |
Martin's Point Setting Facility Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Facility | None | $0.08 | $0.08 | $0.08 |
Martin's Point Setting Professional Modifier None Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | None | $0.08 | $0.10 | $0.10 |
Oscar Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.12 Median $0.59 Typical High $0.93 | Facility | None | $0.12 | $0.59 | $0.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.15 | Professional | None | $0.12 | $0.12 | $0.15 |
United Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.12 | Professional | None | $0.07 | $0.08 | $0.12 |
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 KX · Policy requirements met Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | KX · Policy requirements met | $10.96 | $10.96 | $10.96 |
Where Pennsylvania sits
The same service costs 2.2 times more in Idaho than in Utah. 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
$0.10
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.