How much rates vary
Facilitymedian $60 · 10th to 90th $28 to $174Professionalmedian $36 · 10th to 90th $19 to $51
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 $37.15 Median $57.54 Typical High $158.49 | Facility | None | $37.15 | $57.54 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $51.29 | Professional | None | $21.38 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.59 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $46.77 | Professional | None | $27.54 | $46.77 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $128.82 | Facility | None | $21.88 | $47.86 | $128.82 |
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 Typical Low $32.36 Median $36.31 Typical High $39.81 | Professional | None | $32.36 | $36.31 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $63.10 Typical High $134.90 | Facility | None | $30.90 | $63.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $67.61 | Professional | None | $21.88 | $21.88 | $67.61 |
Geisinger Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Geisinger Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $83.18 | Professional | None | $39.81 | $46.77 | $83.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $32.36 Median $141.25 Typical High $229.09 | Facility | None | $32.36 | $141.25 | $229.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $34.67 | Professional | None | $27.54 | $34.67 | $34.67 |
Independence Blue Cross Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $128.82 | Facility | None | $16.60 | $22.91 | $128.82 |
Martin's Point Setting Facility Modifier None Typical Low $39.81 Median $70.79 Typical High $158.49 | Facility | None | $39.81 | $70.79 | $158.49 |
Martin's Point Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $44.67 | Professional | None | $21.38 | $37.15 | $44.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $18.62 | $18.62 | $19.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.94 |
Oscar Health Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $151.36 | Facility | None | $50.12 | $104.71 | $151.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $114.82 | Facility | None | $31.62 | $52.48 | $114.82 |
United Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $56.23 | Facility | None | $41.69 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $9.33 Median $27.54 Typical High $56.23 | Professional | None | $9.33 | $27.54 | $56.23 |
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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $40.74 Typical High $46.77 | Professional | QW · Waived lab test | $21.38 | $40.74 | $46.77 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 22nd of 51
$37.15
AK $69.18KY $14.13
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.