How much rates vary
Facilitymedian $100 · 10th to 90th $60 to $575Professionalmedian $60 · 10th to 90th $43 to $102
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 $42.66 Median $42.66 Typical High $575.44 | Facility | None | $42.66 | $42.66 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $63.10 | Professional | None | $42.66 | $46.77 | $63.10 |
AmeriHealth Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
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 $83.18 Median $102.33 Typical High $102.33 | Professional | None | $83.18 | $102.33 | $102.33 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 50 · Both sides | $93.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $501.19 | Professional | None | $43.65 | $43.65 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $165.96 | Professional | None | $89.13 | $141.25 | $165.96 |
Geisinger Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Geisinger Setting Professional Modifier None Typical Low $30.90 Median $63.10 Typical High $104.71 | Professional | None | $30.90 | $63.10 | $104.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $398.11 | Facility | None | $100.00 | $165.96 | $398.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $87.10 | Professional | None | $72.44 | $77.62 | $87.10 |
Independence Blue Cross Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $575.44 | Facility | None | $42.66 | $42.66 | $575.44 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $63.10 | Professional | None | $42.66 | $46.77 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $138.04 | Professional | None | $13.18 | $13.18 | $138.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $66.07 Median $338.84 Typical High $575.44 | Facility | None | $66.07 | $338.84 | $575.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | None | $66.07 | $66.07 | $97.72 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Facility | None | $131.83 | $131.83 | $154.88 |
United Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | None | $34.67 | $51.29 | $79.43 |
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 $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Where Pennsylvania sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 22nd of 51
$63.10
KS $110FL $43.65
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.