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 $12.88 Median $12.88 Typical High $19.50 | Facility | None | $12.88 | $12.88 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $10.96 Median $12.59 Typical High $14.79 | Facility | None | $10.96 | $12.59 | $14.79 |
Capital Blue Cross Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $48.98 | Facility | None | $12.88 | $21.38 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Martin's Point Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $19.50 | Facility | None | $12.88 | $12.88 | $19.50 |
Martin's Point Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $22.91 | Facility | None | $8.91 | $16.60 | $22.91 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $16.98 | Professional | None | $12.30 | $12.30 | $16.98 |
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 $25.70 Median $25.70 Typical High $75.86 | Facility | JZ · No drug discarded | $25.70 | $25.70 | $75.86 |
Where Pennsylvania sits
The same service costs 3.0 times more in Arizona than in Hawaii. 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· 10th of 51
$12.88
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.