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 $19.50 Median $22.39 Typical High $22.39 | Facility | None | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.39 Typical High $23.44 | Professional | None (both parts) | $19.50 | $22.39 | $23.44 |
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 $22.91 Median $22.91 Typical High $23.44 | Professional | None (both parts) | $22.91 | $22.91 | $23.44 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
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 (both parts) Typical Low $19.50 Median $22.39 Typical High $23.44 | Professional | None (both parts) | $19.50 | $22.39 | $23.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $28.18 | $47.86 | $47.86 |
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 $6.31 Median $7.59 Typical High $22.39 | Professional | 26 · Professional part | $6.31 | $7.59 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.18 Typical High $13.80 | Professional | TC · Technical part | $11.48 | $13.18 | $13.80 |
Where Pennsylvania sits
The same service costs 20.9 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· 41st of 51
$22.91
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.