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 $32.36 Median $53.70 Typical High $151.36 | Facility | None | $32.36 | $53.70 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $41.69 | Facility | None | $30.90 | $35.48 | $41.69 |
Capital Blue Cross Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | None | $30.90 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $54.95 Typical High $125.89 | Facility | None | $32.36 | $54.95 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $61.66 | Professional | None | $33.88 | $33.88 | $61.66 |
Geisinger Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Geisinger Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $81.28 | Professional | None | $32.36 | $47.86 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $151.36 | Facility | None | $32.36 | $53.70 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $114.82 | Professional | None | $77.62 | $114.82 | $114.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $43.65 | Facility | None | $35.48 | $38.02 | $43.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | None | $35.48 | $36.31 | $40.74 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $38.02 | Professional | None | $28.84 | $31.62 | $38.02 |
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 $63.10 Median $83.18 Typical High $169.82 | Facility | JZ · No drug discarded | $63.10 | $83.18 | $169.82 |
Where Pennsylvania sits
The same service costs 1.6 times more in Wyoming than in Maine. 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· 11th of 51
$33.11
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.