How much rates vary
Facilitymedian $117 · 10th to 90th $71 to $741Professionalmedian $117 · 10th to 90th $78 to $195
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 $75.86 Median $85.11 Typical High $125.89 | Facility | None | $75.86 | $85.11 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $125.89 | Professional | None | $74.13 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $25.12 | Professional | 53 · Discontinued | $14.79 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $16.22 Typical High $18.62 | Professional | 55 · Aftercare only | $11.22 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.72 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.41 | $10.72 | $12.59 |
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 $125.89 Median $128.82 Typical High $229.09 | Professional | None | $125.89 | $128.82 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $173.78 | Facility | None | $50.12 | $100.00 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $190.55 | Professional | None | $77.62 | $109.65 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $234.42 | Professional | None | $173.78 | $234.42 | $234.42 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $177.83 | Facility | None | $81.28 | $102.33 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $257.04 | Professional | None | $107.15 | $147.91 | $257.04 |
Highmark BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $125.89 | Facility | None | $85.11 | $85.11 | $125.89 |
Martin's Point Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $125.89 | Professional | None | $74.13 | $104.71 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $52.48 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $14.79 | $20.89 | $25.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.85 Typical High $18.62 | Professional | 55 · Aftercare only | $11.22 | $15.85 | $18.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.47 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.41 | $10.47 | $12.59 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $229.09 | Professional | None | $128.82 | $128.82 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $309.03 | Facility | None | $87.10 | $131.83 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $123.03 | Professional | None | $79.43 | $117.49 | $123.03 |
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 $83.18 Median $112.20 Typical High $169.82 | Professional | None | $83.18 | $112.20 | $169.82 |
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 $186.21 Median $194.98 Typical High $346.74 | Professional | 50 · Both sides | $186.21 | $194.98 | $346.74 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$117
AK $339MD $95.50
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.