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 |
|---|---|---|---|---|---|
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 $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $15.14 | Professional | None | $1.29 | $1.29 | $15.14 |
Highmark BCBS Setting Professional Modifier None Typical Low $36.31 Median $85.11 Typical High $154.88 | Professional | None | $36.31 | $85.11 | $154.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $954.99 Typical High $1,548.82 | Facility | None | $194.98 | $954.99 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | 50 · Both sides | $58,884.37 | $58,884.37 | $58,884.37 |
Where Pennsylvania sits
The same service costs 147.9 times more in Mississippi 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· 34th of 51
$15.14
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.