How much rates vary
Facilitymedian $372 · 10th to 90th $66 to $4,266Professionalmedian $214 · 10th to 90th $66 to $251
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 $66.07 Median $66.07 Typical High $79.43 | Facility | None | $66.07 | $66.07 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | None | $63.10 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $14.79 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $177.83 | Professional | None | $70.79 | $104.71 | $177.83 |
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 $213.80 Median $223.87 Typical High $309.03 | Professional | None | $213.80 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $562.34 | Professional | None | $331.13 | $436.52 | $562.34 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $302.00 | Professional | None | $165.96 | $169.82 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $79.43 | Facility | None | $66.07 | $66.07 | $79.43 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | None | $63.10 | $74.13 | $79.43 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $37.15 | $39.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $14.79 | $15.85 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $239.88 | Professional | None | $67.61 | $67.61 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $147.91 Median $676.08 Typical High $1,148.15 | Facility | None | $147.91 | $676.08 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $316.23 | Professional | None | $117.49 | $177.83 | $316.23 |
5 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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Professional Modifier UN · 2 patients served Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | UN · 2 patients served | $89.13 | $89.13 | $91.20 |
UPMC Health Plan Setting Professional Modifier UP · 3 patients served Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | UP · 3 patients served | $58.88 | $58.88 | $60.26 |
UPMC Health Plan Setting Professional Modifier UQ · 4 patients served Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UQ · 4 patients served | $44.67 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier UR · 5 patients served Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | UR · 5 patients served | $35.48 | $35.48 | $36.31 |
UPMC Health Plan Setting Professional Modifier US · 6+ patients served Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | US · 6+ patients served | $29.51 | $29.51 | $30.20 |
Where Pennsylvania sits
The same service costs 4.9 times more in Nebraska 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· 8th of 51
$214
NE $324FL $66.07
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.