How much rates vary
Facilitymedian $112 · 10th to 90th $66 to $575Professionalmedian $141 · 10th to 90th $107 to $234
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 $114.82 Median $134.90 Typical High $147.91 | Facility | None | $114.82 | $134.90 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $147.91 | Professional | None | $102.33 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.50 Typical High $22.39 | Professional | 55 · Aftercare only | $15.49 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.23 | $12.88 | $14.79 |
AmeriHealth Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | None | $147.91 | $147.91 | $169.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $275.42 | Professional | None | $144.54 | $151.36 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $144.54 | Facility | None | $50.12 | $87.10 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $239.88 | Professional | None | $109.65 | $141.25 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $245.47 | Professional | None | $190.55 | $245.47 | $245.47 |
Geisinger Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $151.36 | Facility | None | $69.18 | $87.10 | $151.36 |
Geisinger Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $309.03 | Professional | None | $104.71 | $154.88 | $309.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $912.01 | Facility | None | $724.44 | $724.44 | $912.01 |
Highmark BCBS Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $380.19 | Professional | None | $144.54 | $154.88 | $380.19 |
Independence Blue Cross Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | None | $147.91 | $147.91 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $147.91 Typical High $218.78 | Facility | None | $114.82 | $147.91 | $218.78 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $147.91 | Professional | None | $102.33 | $128.82 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $64.57 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $26.30 | $29.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.50 Typical High $22.39 | Professional | 55 · Aftercare only | $15.49 | $19.50 | $22.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.23 | $12.88 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $295.12 | Professional | None | $95.50 | $95.50 | $295.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $457.09 | Facility | None | $131.83 | $199.53 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | None | $109.65 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $204.17 | Professional | None | $114.82 | $141.25 | $204.17 |
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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $218.78 Median $223.87 Typical High $407.38 | Professional | 50 · Both sides | $218.78 | $223.87 | $407.38 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 39th of 51
$141
AK $457KY $107
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.