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 $39.81 Median $44.67 Typical High $83.18 | Facility | None | $39.81 | $44.67 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | None (both parts) | $39.81 | $44.67 | $52.48 |
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 (both parts) Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None (both parts) | $42.66 | $42.66 | $43.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $41.69 | $61.66 | $89.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.50 Median $6,456.54 Typical High $8,511.38 | Facility | None | $0.50 | $6,456.54 | $8,511.38 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $83.18 | Facility | None | $44.67 | $44.67 | $83.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | None (both parts) | $39.81 | $44.67 | $52.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $56.23 | $107.15 | $107.15 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $45.71 | Professional | 26 · Professional part | $13.18 | $15.49 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | TC · Technical part | $23.44 | $26.30 | $27.54 |
Where Pennsylvania sits
The same service costs 10.5 times more in Arizona than in West Virginia. 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· 45th of 51
$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.