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 $33.11 Median $33.11 Typical High $36.31 | Facility | None | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $44.67 | Professional | None | $33.11 | $36.31 | $44.67 |
AmeriHealth Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
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 $57.54 Median $66.07 Typical High $66.07 | Professional | None | $57.54 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $346.74 | Professional | None | $48.98 | $48.98 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $112.20 | Professional | None | $61.66 | $97.72 | $112.20 |
Geisinger Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $67.61 | Professional | None | $39.81 | $46.77 | $67.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Independence Blue Cross Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $42.66 | Professional | None | $33.11 | $36.31 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $154.88 | Professional | None | $38.90 | $38.90 | $154.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $338.84 Typical High $575.44 | Facility | None | $72.44 | $338.84 | $575.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | None | $72.44 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Facility | None | $128.82 | $128.82 | $151.36 |
United Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $87.10 | Professional | None | $38.90 | $51.29 | $87.10 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | CG · Policy criteria applied | $69.18 | $69.18 | $69.18 |
Where Pennsylvania sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 36th of 51
$53.70
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.