How much rates vary
Facilitymedian $479 · 10th to 90th $132 to $1,047Professionalmedian $182 · 10th to 90th $98 to $380
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 $112.20 Median $281.84 Typical High $912.01 | Facility | None | $112.20 | $281.84 | $912.01 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $1,230.27 | Facility | TC · Technical part | $64.57 | $100.00 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $112.20 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $75.86 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $97.72 | $97.72 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $43.65 | $75.86 |
AmeriHealth Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $1,318.26 | Facility | TC · Technical part | $154.88 | $295.12 | $1,318.26 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $104.71 | $104.71 | $134.90 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $45.71 | $53.70 |
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 $218.78 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $218.78 | $229.09 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $87.10 | $154.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $138.04 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $457.09 | Professional | None (both parts) | $81.28 | $81.28 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $199.53 | Professional | 26 · Professional part | $35.48 | $35.48 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $263.03 | Professional | TC · Technical part | $46.77 | $46.77 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $131.83 | $162.18 | $165.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $199.53 | $223.87 | $416.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $87.10 | $162.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $134.90 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $794.33 | Facility | None | $208.93 | $489.78 | $794.33 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $158.49 | $186.21 | $316.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $1,862.09 | Facility | None | $741.31 | $1,479.11 | $1,862.09 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $1,318.26 | Facility | TC · Technical part | $154.88 | $302.00 | $1,318.26 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $104.71 | $104.71 | $120.23 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $912.01 | Facility | None | $112.20 | $338.84 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $112.20 | $131.83 | $181.97 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $53.70 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $70.79 | $117.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $109.65 | $234.42 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $724.44 Typical High $1,148.15 | Facility | None | $97.72 | $724.44 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $97.72 | $181.97 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $70.79 | $70.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $117.49 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $87.10 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $63.10 | $125.89 | $251.19 |
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 |
|---|---|---|---|---|---|
AmeriHealth Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Independence Blue Cross Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Where Pennsylvania sits
The same service costs 3.5 times more in Nebraska than in New Mexico. 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· 18th of 51
$191
NE $331NM $93.33
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.