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 $2.75 Median $3.98 Typical High $6.92 | Facility | None | $2.75 | $3.98 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | None | $2.75 | $2.82 | $2.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.63 Median $3.02 Typical High $3.55 | Facility | None | $2.63 | $3.02 | $3.55 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $4.68 Typical High $10.47 | Facility | None | $2.75 | $4.68 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Geisinger Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Geisinger Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.01 | Professional | None | $4.17 | $4.17 | $5.01 |
Martin's Point Setting Facility Modifier None Typical Low $2.75 Median $3.98 Typical High $6.92 | Facility | None | $2.75 | $3.98 | $6.92 |
Martin's Point Setting Professional Modifier None Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | None | $2.75 | $2.82 | $2.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.34 Median $3.24 Typical High $3.39 | Facility | None | $2.34 | $3.24 | $3.39 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.75 | Professional | None | $2.34 | $2.34 | $2.75 |
United Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
United Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.63 | Professional | None | $2.63 | $2.63 | $3.63 |
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 $6.76 Median $6.76 Typical High $7.41 | Facility | JZ · No drug discarded | $6.76 | $6.76 | $7.41 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in Oklahoma. 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· 19th of 51
$2.82
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.