How much rates vary
Facilitymedian $66 · 10th to 90th $20 to $5,012Professionalmedian $21 · 10th to 90th $16 to $31
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 $15.85 Median $19.95 Typical High $19.95 | Facility | None | $15.85 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | None (both parts) | $15.85 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | 26 · Professional part | $7.59 | $7.59 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | TC · Technical part | $8.32 | $8.32 | $10.72 |
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 (both parts) Typical Low $21.38 Median $22.39 Typical High $38.02 | Professional | None (both parts) | $21.38 | $22.39 | $38.02 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $8.71 | $16.60 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $13.49 Typical High $21.88 | Professional | TC · Technical part | $12.88 | $13.49 | $21.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $23.44 | $28.18 | $33.88 |
Geisinger Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.12 Typical High $46.77 | Professional | None (both parts) | $18.20 | $25.12 | $46.77 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $7.76 | $10.72 | $18.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $14.79 Typical High $28.84 | Professional | TC · Technical part | $10.72 | $14.79 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | None (both parts) | $15.85 | $15.85 | $19.95 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | 26 · Professional part | $7.59 | $7.59 | $9.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | TC · Technical part | $8.32 | $8.32 | $10.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $30.90 | $30.90 | $42.66 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $57.54 Typical High $93.33 | Facility | None | $16.98 | $57.54 | $93.33 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None (both parts) | $16.98 | $16.98 | $16.98 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $8.91 | $10.96 | $10.96 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $15.49 Median $18.20 Typical High $34.67 | Professional | None (both parts) | $15.49 | $18.20 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $8.13 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $9.77 Typical High $19.05 | Professional | TC · Technical part | $8.51 | $9.77 | $19.05 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.98 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 28th of 51
$21.38
WI $39.81NC $17.38
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.