How much rates vary
Facilitymedian $50 · 10th to 90th $19 to $120Professionalmedian $15 · 10th to 90th $10 to $26
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 $19.95 Median $44.67 Typical High $85.11 | Facility | None | $19.95 | $44.67 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $25.70 | Professional | None | $15.49 | $16.60 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $30.90 Typical High $30.90 | Professional | None | $11.48 | $30.90 | $30.90 |
AmeriHealth Setting Facility Modifier None Typical Low $28.18 Median $74.13 Typical High $851.14 | Facility | None | $28.18 | $74.13 | $851.14 |
AmeriHealth Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | None | $12.59 | $12.59 | $13.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $5,011.87 | Facility | None | $104.71 | $134.90 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $26.30 Typical High $56.23 | Facility | None | $13.49 | $26.30 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Emblem Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $28.18 | Professional | None | $9.12 | $9.12 | $28.18 |
Geisinger Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Geisinger Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $28.84 | Professional | None | $15.49 | $19.50 | $28.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.20 Median $54.95 Typical High $100.00 | Facility | None | $30.20 | $54.95 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $32.36 | Professional | None | $11.48 | $14.45 | $32.36 |
Independence Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $70.79 Typical High $162.18 | Facility | None | $26.92 | $70.79 | $162.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $13.18 | Professional | None | $12.59 | $12.59 | $13.18 |
Martin's Point Setting Facility Modifier None Typical Low $19.95 Median $47.86 Typical High $87.10 | Facility | None | $19.95 | $47.86 | $87.10 |
Martin's Point Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $24.55 | Professional | None | $15.49 | $16.60 | $24.55 |
Oscar Health Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $204.17 | Facility | None | $138.04 | $199.53 | $204.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $47.86 Typical High $162.18 | Facility | None | $19.50 | $47.86 | $162.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $23.99 | Professional | None | $16.98 | $19.50 | $23.99 |
United Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $22.91 | Facility | None | $17.38 | $19.50 | $22.91 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $32.36 | Professional | None | $8.71 | $13.18 | $32.36 |
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 Facility Modifier PN · Off-campus dept, non-excepted Typical Low $9.55 Median $48.98 Typical High $109.65 | Facility | PN · Off-campus dept, non-excepted | $9.55 | $48.98 | $109.65 |
Where Pennsylvania sits
The same service costs 3.6 times more in Minnesota than in Indiana. 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· 14th of 51
$24.55
MN $54.95IN $15.14
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.