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 $107.15 Typical High $181.97 | Facility | None | $66.07 | $107.15 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $85.11 | Facility | None | $61.66 | $70.79 | $85.11 |
Capital Blue Cross Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $251.19 | Facility | None | $66.07 | $109.65 | $251.19 |
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 $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $181.97 | Facility | None | $66.07 | $112.20 | $181.97 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $81.28 | Facility | None | $69.18 | $75.86 | $81.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | None | $69.18 | $69.18 | $81.28 |
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 $70.79 Median $79.43 Typical High $112.20 | Professional | None | $70.79 | $79.43 | $112.20 |
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 $245.47 Median $245.47 Typical High $416.87 | Facility | JZ · No drug discarded | $245.47 | $245.47 | $416.87 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in Delaware. 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· 47th of 51
$69.18
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.