How much rates vary
Facilitymedian $56 · 10th to 90th $24 to $148Professionalmedian $19 · 10th to 90th $13 to $36
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 $20.42 Median $83.18 Typical High $141.25 | Facility | None | $20.42 | $83.18 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $22.91 | Professional | None | $17.78 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | 52 · Reduced service | $9.77 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $23.99 | Professional | None | $14.45 | $23.99 | $23.99 |
AmeriHealth Setting Facility Modifier None Typical Low $22.39 Median $54.95 Typical High $257.04 | Facility | None | $22.39 | $54.95 | $257.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $5,011.87 | Facility | None | $128.82 | $165.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | None | $18.62 | $18.62 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $33.11 Typical High $70.79 | Facility | None | $16.98 | $33.11 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Emblem Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $34.67 | Professional | None | $11.22 | $11.22 | $34.67 |
Geisinger Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Geisinger Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $43.65 | Professional | None | $20.42 | $24.55 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $64.57 Typical High $109.65 | Facility | None | $33.11 | $64.57 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | None | $14.45 | $18.20 | $18.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.99 Median $48.98 Typical High $257.04 | Facility | None | $23.99 | $48.98 | $257.04 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $83.18 Typical High $141.25 | Facility | None | $20.42 | $83.18 | $141.25 |
Martin's Point Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $20.42 | Professional | None | $19.05 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.07 |
Oscar Health Setting Facility Modifier None Typical Low $20.89 Median $36.31 Typical High $52.48 | Facility | None | $20.89 | $36.31 | $52.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $85.11 | Facility | None | $36.31 | $56.23 | $85.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $28.84 | Facility | None | $21.88 | $23.99 | $28.84 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $39.81 | Professional | None | $10.96 | $15.85 | $39.81 |
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 $23.99 Typical High $32.36 | Professional | QW · Waived lab test | $21.38 | $23.99 | $32.36 |
Where Pennsylvania sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 21st of 51
$23.99
HI $54.95MD $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.