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 $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $707.95 | Professional | None | $501.19 | $549.54 | $707.95 |
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 $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $6,025.60 | Professional | None | $549.54 | $549.54 | $6,025.60 |
Emblem Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,778.28 | $2,089.30 |
Geisinger Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Geisinger Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,230.27 | Professional | None | $645.65 | $741.31 | $1,230.27 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Martin's Point Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $707.95 | Professional | None | $501.19 | $549.54 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,737.80 | Professional | None | $407.38 | $407.38 | $1,737.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $776.25 Median $3,890.45 Typical High $6,760.83 | Facility | None | $776.25 | $3,890.45 | $6,760.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,148.15 | Professional | None | $776.25 | $776.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $912.01 | Professional | None | $467.74 | $602.56 | $912.01 |
2 more rates 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 KX · Policy requirements met Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KX · Policy requirements met | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Where Pennsylvania sits
The same service costs 2.2 times more in Iowa than in Delaware. 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
$741
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.