How much rates vary
Facilitymedian $537 · 10th to 90th $132 to $1,380Professionalmedian $135 · 10th to 90th $93 to $229
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 $93.33 Median $169.82 Typical High $1,348.96 | Facility | None | $93.33 | $169.82 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $131.83 | Professional | None | $93.33 | $104.71 | $131.83 |
AmeriHealth Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $1,380.38 | Facility | None | $363.08 | $912.01 | $1,380.38 |
AmeriHealth Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $181.97 Median $229.09 Typical High $229.09 | Professional | None | $181.97 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $1,148.15 | Professional | None | $95.50 | $95.50 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $389.05 | Professional | None | $213.80 | $338.84 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $234.42 | Professional | None | $123.03 | $141.25 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $1,230.27 | Facility | None | $398.11 | $758.58 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $245.47 | Professional | None | $158.49 | $194.98 | $245.47 |
Independence Blue Cross Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $1,380.38 | Facility | None | $269.15 | $630.96 | $1,380.38 |
Independence Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $269.15 | Professional | None | $134.90 | $169.82 | $269.15 |
Martin's Point Setting Facility Modifier None Typical Low $93.33 Median $562.34 Typical High $1,348.96 | Facility | None | $93.33 | $562.34 | $1,348.96 |
Martin's Point Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $131.83 | Professional | None | $93.33 | $104.71 | $131.83 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $323.59 | Professional | None | $79.43 | $79.43 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $147.91 Median $741.31 Typical High $1,288.25 | Facility | None | $147.91 | $741.31 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | None | $147.91 | $147.91 | $218.78 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Facility | None | $281.84 | $281.84 | $338.84 |
United Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $173.78 | Professional | None | $89.13 | $114.82 | $173.78 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | GA · Liability notice issued | $177.83 | $177.83 | $177.83 |
Where Pennsylvania sits
The same service costs 2.3 times more in Hawaii 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· 22nd of 51
$145
HI $234DE $102
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.