How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,122 to $5,012Professionalmedian $1,288 · 10th to 90th $1,202 to $1,288
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 $1,288.25 Median $1,348.96 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,348.96 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,288.25 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,202.26 | Professional | None | $912.01 | $1,202.26 | $1,202.26 |
AmeriHealth Setting Facility Modifier None Typical Low $1,288.25 Median $4,677.35 Typical High $10,000.00 | Facility | None | $1,288.25 | $4,677.35 | $10,000.00 |
AmeriHealth Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $5,011.87 | Facility | None | $1,122.02 | $1,288.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $5,011.87 | Facility | None | $1,288.25 | $2,187.76 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Emblem Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,513.56 | $1,513.56 |
Geisinger Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $4,897.79 | Facility | None | $1,122.02 | $2,041.74 | $4,897.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,288.25 Median $5,888.44 Typical High $9,772.37 | Facility | None | $1,288.25 | $5,888.44 | $9,772.37 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Martin's Point Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,348.96 | $3,311.31 |
Martin's Point Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,288.25 | $1,348.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $1,548.82 | Facility | None | $645.65 | $1,258.93 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,288.25 Typical High $1,513.56 | Professional | None | $512.86 | $1,288.25 | $1,513.56 |
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 Professional Modifier GC · Resident with teaching physician + JZ · No drug discarded Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | GC · Resident with teaching physician + JZ · No drug discarded | $1,288.25 | $1,288.25 | $1,288.25 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 6th of 51
$1,288
SC $1,349OK $977
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.