How much rates vary
Facilitymedian $74 · 10th to 90th $52 to $603Professionalmedian $62 · 10th to 90th $47 to $112
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 $46.77 Median $46.77 Typical High $85.11 | Facility | None | $46.77 | $46.77 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $54.95 | Professional | None | $41.69 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
AmeriHealth Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $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 $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 50 · Both sides | $102.33 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $616.60 | Professional | None | $51.29 | $51.29 | $616.60 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $199.53 | Professional | None | $109.65 | $169.82 | $199.53 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Geisinger Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $114.82 | Professional | None | $60.26 | $69.18 | $114.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $37.15 | Facility | None | $15.49 | $32.36 | $37.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | None | $79.43 | $89.13 | $100.00 |
Independence Blue Cross Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $85.11 | Facility | None | $46.77 | $46.77 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $54.95 | Professional | None | $41.69 | $51.29 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $165.96 | Professional | None | $37.15 | $37.15 | $165.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $371.54 Typical High $630.96 | Facility | None | $77.62 | $371.54 | $630.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $186.21 | Facility | None | $52.48 | $67.61 | $186.21 |
United Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $93.33 | Professional | None | $44.67 | $56.23 | $93.33 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | RR · Rental | $7.08 | $7.08 | $7.08 |
Where Pennsylvania sits
The same service costs 2.8 times more in Wyoming 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· 35th of 51
$69.18
WY $145DE $51.29
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.