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 $58.88 Median $85.11 Typical High $147.91 | Facility | None | $58.88 | $85.11 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $75.86 | Facility | None | $56.23 | $63.10 | $75.86 |
Capital Blue Cross Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | None | $54.95 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $223.87 | Facility | None | $58.88 | $97.72 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $85.11 | Professional | None | $58.88 | $58.88 | $85.11 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $58.88 | Facility | None | $54.95 | $58.88 | $58.88 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $109.65 | Professional | None | $58.88 | $74.13 | $109.65 |
Independence Blue Cross Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $67.61 | Facility | None | $58.88 | $64.57 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $58.88 Median $107.15 Typical High $147.91 | Facility | None | $58.88 | $107.15 | $147.91 |
Martin's Point Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $30.20 | Professional | None | $0.60 | $0.60 | $30.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $72.44 | Facility | None | $47.86 | $67.61 | $72.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $56.23 | Professional | None | $47.86 | $48.98 | $56.23 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $63.10 | Professional | None | $51.29 | $58.88 | $63.10 |
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 JW · Drug discarded Typical Low $70.79 Median $117.49 Typical High $208.93 | Facility | JW · Drug discarded | $70.79 | $117.49 | $208.93 |
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· 26th of 51
$58.88
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.