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 $12.02 Median $13.80 Typical High $13.80 | Facility | None | $12.02 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $14.79 | Professional | None (both parts) | $12.02 | $13.49 | $14.79 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | None (both parts) | $15.85 | $15.85 | $16.22 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.85 | $15.85 | $15.85 |
Highmark BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.90 | Facility | None | $36.31 | $36.31 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $13.80 | Professional | None (both parts) | $12.02 | $13.49 | $13.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $19.95 | $34.67 | $34.67 |
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 $3.89 Median $4.68 Typical High $13.49 | Professional | 26 · Professional part | $3.89 | $4.68 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $7.76 Typical High $8.32 | Professional | TC · Technical part | $6.76 | $7.76 | $8.32 |
Where Pennsylvania sits
The same service costs 30.2 times more in Arizona than in New Jersey. 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· 39th of 51
$15.85
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.