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 $22.39 Median $22.39 Typical High $27.54 | Facility | None | $22.39 | $22.39 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | None | $22.39 | $27.54 | $27.54 |
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 $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $218.78 | Professional | None | $21.38 | $21.38 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $77.62 | Professional | None | $41.69 | $66.07 | $77.62 |
Geisinger Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Geisinger Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $45.71 | Professional | None | $27.54 | $29.51 | $45.71 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | None | $22.39 | $27.54 | $27.54 |
Oscar Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $56.23 | Professional | None | $13.18 | $13.18 | $56.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $141.25 Typical High $245.47 | Facility | None | $30.90 | $141.25 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | None | $30.90 | $30.90 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $35.48 | Professional | None | $17.78 | $21.38 | $35.48 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KX · Policy requirements met | $33.88 | $33.88 | $33.88 |
Where Pennsylvania sits
The same service costs 2.2 times more in Montana 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· 27th of 51
$28.84
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.