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 |
|---|---|---|---|---|---|
AmeriHealth Setting Facility Modifier None Typical Low $91,201.08 Median $144,543.98 Typical High $251,188.64 | Facility | None | $91,201.08 | $144,543.98 | $251,188.64 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None | $229.09 | $229.09 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $1,047.13 Typical High $7,943.28 | Facility | None | $53.70 | $1,047.13 | $7,943.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $93,325.43 Median $117,489.76 Typical High $251,188.64 | Facility | None | $93,325.43 | $117,489.76 | $251,188.64 |
Oscar Health Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $9,772.37 | Facility | None | $8,128.31 | $8,128.31 | $9,772.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $5,128.61 | Facility | None | $2,290.87 | $3,162.28 | $5,128.61 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Where Pennsylvania sits
The same service costs 120.2 times more in Iowa than in Wyoming. 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· 38th of 51
$229
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.