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 $64.57 Median $72.44 Typical High $933.25 | Facility | None | $64.57 | $72.44 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $85.11 | Professional | None | $64.57 | $72.44 | $85.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | None | $125.89 | $158.49 | $158.49 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 50 · Both sides | $141.25 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $794.33 | Professional | None | $85.11 | $85.11 | $794.33 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $281.84 | Professional | None | $154.88 | $245.47 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Geisinger Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $162.18 | Professional | None | $83.18 | $95.50 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $107.15 | Facility | None | $70.79 | $70.79 | $107.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $154.88 | Professional | None | $109.65 | $128.82 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $933.25 | Facility | None | $64.57 | $79.43 | $933.25 |
Martin's Point Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $85.11 | Professional | None | $64.57 | $72.44 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $234.42 | Professional | None | $54.95 | $54.95 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $512.86 Typical High $870.96 | Facility | None | $109.65 | $512.86 | $870.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $151.36 | Professional | None | $109.65 | $109.65 | $151.36 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $234.42 | Facility | None | $72.44 | $89.13 | $234.42 |
United Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $131.83 | Professional | None | $61.66 | $79.43 | $131.83 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Where Pennsylvania sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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
$95.50
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.