How much rates vary
Facilitymedian $5,370 · 10th to 90th $676 to $17,378Professionalmedian $2,344 · 10th to 90th $2,042 to $3,981
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 $1,071.52 Median $5,495.41 Typical High $9,332.54 | Facility | None | $1,071.52 | $5,495.41 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,137.96 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,698.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $4,168.69 | Professional | None | $2,344.23 | $2,398.83 | $4,168.69 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,659.59 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,659.59 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $18,620.87 | Facility | None | $501.19 | $2,691.53 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $4,786.30 | Professional | None | $2,041.74 | $2,238.72 | $4,786.30 |
Emblem Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,073.80 Typical High $4,677.35 | Professional | None | $2,818.38 | $4,073.80 | $4,677.35 |
Geisinger Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $5,623.41 | Professional | None | $2,187.76 | $2,884.03 | $5,623.41 |
Martin's Point Setting Facility Modifier None Typical Low $1,071.52 Median $5,128.61 Typical High $9,772.37 | Facility | None | $1,071.52 | $5,128.61 | $9,772.37 |
Martin's Point Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,137.96 | $2,454.71 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $1,819.70 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,981.07 | Professional | None | $2,137.96 | $2,137.96 | $3,981.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,995.26 | $1,995.26 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,995.26 | $1,995.26 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,454.40 | Facility | None | $2,818.38 | $5,495.41 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,949.84 | $2,511.89 | $3,801.89 |
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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Professional Modifier 62 · Two surgeons Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,737.80 | $1,737.80 | $1,737.80 |
Where Pennsylvania sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 40th of 51
$2,399
AK $9,550TX $1,175
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.