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 $40.74 Median $40.74 Typical High $107.15 | Facility | None | $40.74 | $40.74 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
Capital Blue Cross Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $63.10 | Facility | None | $46.77 | $53.70 | $63.10 |
Capital Blue Cross Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | None | $47.86 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $154.88 | Facility | None | $40.74 | $67.61 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Geisinger Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Geisinger Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $91.20 | Professional | None | $40.74 | $50.12 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $323.59 | Facility | None | $53.70 | $56.23 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $107.15 | Facility | None | $40.74 | $40.74 | $107.15 |
Martin's Point Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $138.04 | Professional | None | $43.65 | $70.79 | $138.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $54.95 | Facility | None | $30.20 | $47.86 | $54.95 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | None | $30.20 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $61.66 | Professional | None | $39.81 | $39.81 | $61.66 |
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 JZ · No drug discarded Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $40.74 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 16th of 51
$41.69
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.