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 $524.81 Median $575.44 Typical High $954.99 | Facility | None | $524.81 | $575.44 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $812.83 | Professional | None | $524.81 | $575.44 | $812.83 |
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 $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $7,079.46 | Professional | None | $660.69 | $660.69 | $7,079.46 |
Emblem Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,862.09 | $2,187.76 |
Geisinger Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Geisinger Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,288.25 | Professional | None | $676.08 | $776.25 | $1,288.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,025.60 | Facility | None | $5,754.40 | $5,754.40 | $6,025.60 |
Highmark BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Martin's Point Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $831.76 | Professional | None | $524.81 | $575.44 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,819.70 | $1,905.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $812.83 Median $4,073.80 Typical High $7,079.46 | Facility | None | $812.83 | $4,073.80 | $7,079.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,202.26 | Professional | None | $812.83 | $812.83 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,737.80 | $1,737.80 | $2,041.74 |
United Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $1,047.13 | Professional | None | $524.81 | $630.96 | $1,047.13 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 31st of 51
$813
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.