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 $51.29 Median $69.18 Typical High $131.83 | Facility | None | $51.29 | $69.18 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $66.07 | Facility | None | $48.98 | $54.95 | $66.07 |
Capital Blue Cross Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $194.98 | Facility | None | $51.29 | $85.11 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Geisinger Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Geisinger Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $295.12 | Facility | None | $61.66 | $109.65 | $295.12 |
Independence Blue Cross Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $58.88 | Facility | None | $51.29 | $53.70 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $131.83 | Facility | None | $51.29 | $75.86 | $131.83 |
Martin's Point Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $63.10 | Facility | None | $47.86 | $58.88 | $63.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None | $47.86 | $47.86 | $54.95 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $91.20 | Professional | None | $48.98 | $54.95 | $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 $56.23 Median $120.23 Typical High $269.15 | Facility | JZ · No drug discarded | $56.23 | $120.23 | $269.15 |
Where Pennsylvania sits
The same service costs 2.0 times more in Wyoming than in Mississippi. 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· 37th of 51
$51.29
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.