How much rates vary
Facilitymedian $59 · 10th to 90th $58 to $537Professionalmedian $55 · 10th to 90th $44 to $89
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 $43.65 Median $43.65 Typical High $54.95 | Facility | None | $43.65 | $43.65 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $54.95 | Professional | None | $30.90 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | None | $63.10 | $63.10 | $77.62 |
AmeriHealth Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | None | $67.61 | $79.43 | $79.43 |
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 $67.61 Median $89.13 Typical High $89.13 | Professional | None | $67.61 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $436.52 | Professional | None | $43.65 | $43.65 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $151.36 | Professional | None | $83.18 | $131.83 | $151.36 |
Geisinger Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Geisinger Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $91.20 | Professional | None | $54.95 | $60.26 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $213.80 | Facility | None | $58.88 | $63.10 | $213.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | None | $67.61 | $72.44 | $77.62 |
Independence Blue Cross Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $81.28 | Professional | None | $54.95 | $67.61 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $54.95 | Professional | None | $30.90 | $51.29 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $125.89 | Professional | None | $29.51 | $29.51 | $125.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $57.54 Median $288.40 Typical High $501.19 | Facility | None | $57.54 | $288.40 | $501.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | None | $57.54 | $57.54 | $85.11 |
United Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $72.44 | Professional | None | $34.67 | $44.67 | $72.44 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | KX · Policy requirements met | $61.66 | $72.44 | $72.44 |
Where Pennsylvania sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 33rd of 51
$57.54
ID $95.50CO $43.65
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.