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 $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $363.08 | Professional | None | $218.78 | $245.47 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $407.38 | Professional | None | $316.23 | $407.38 | $407.38 |
AmeriHealth Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $426.58 Median $537.03 Typical High $537.03 | Professional | None | $426.58 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Facility | None | $371.54 | $371.54 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $2,691.53 | Professional | None | $275.42 | $275.42 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $912.01 | Professional | None | $501.19 | $794.33 | $912.01 |
Geisinger Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Geisinger Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $549.54 | Professional | None | $331.13 | $354.81 | $549.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $549.54 | Professional | None | $371.54 | $436.52 | $549.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $363.08 | Professional | None | $218.78 | $245.47 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $562.34 | Professional | None | $213.80 | $213.80 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Facility | None | $478.63 | $478.63 | $512.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | None | $478.63 | $478.63 | $512.86 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Facility | None | $660.69 | $660.69 | $794.33 |
United Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $446.68 | Professional | None | $208.93 | $269.15 | $446.68 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier KX · Policy requirements met Typical Low $371.54 Median $398.11 Typical High $436.52 | Professional | KX · Policy requirements met | $371.54 | $398.11 | $436.52 |
Where Pennsylvania sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 25th of 51
$372
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.