How much rates vary
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 $66.07 Median $95.50 Typical High $173.78 | Facility | None | $66.07 | $95.50 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
Capital Blue Cross Setting Facility Modifier None Typical Low $63.10 Median $72.44 Typical High $85.11 | Facility | None | $63.10 | $72.44 | $85.11 |
Capital Blue Cross Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | None | $69.18 | $69.18 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $257.04 | Facility | None | $66.07 | $112.20 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Geisinger Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None | $100.00 | $100.00 | $120.23 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $173.78 | Facility | None | $66.07 | $100.00 | $173.78 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $81.28 | Facility | None | $60.26 | $77.62 | $81.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | None | $60.26 | $60.26 | $70.79 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None | $66.07 | $66.07 | $91.20 |
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 JZ · No drug discarded Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | JZ · No drug discarded | $239.88 | $239.88 | $239.88 |
Where Pennsylvania sits
The same service costs 1.6 times more in Arizona than in Florida. 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· 23rd of 51
$67.61
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.