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 $134.90 Median $177.83 Typical High $323.59 | Facility | None | $134.90 | $177.83 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None | $144.54 | $144.54 | $177.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $186.21 | Facility | None | $134.90 | $154.88 | $186.21 |
Capital Blue Cross Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $549.54 | Facility | None | $144.54 | $239.88 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None | $213.80 | $213.80 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $436.52 | Facility | None | $117.49 | $288.40 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $323.59 | Facility | None | $114.82 | $186.21 | $323.59 |
Martin's Point Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $173.78 | Facility | None | $134.90 | $165.96 | $173.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $234.42 | Professional | None | $128.82 | $134.90 | $234.42 |
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 $117.49 Median $275.42 Typical High $645.65 | Facility | JZ · No drug discarded | $117.49 | $275.42 | $645.65 |
Where Pennsylvania sits
The same service costs 8.9 times more in Wyoming than in Kansas. 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· 28th of 51
$145
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.