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 $758.58 Median $2,691.53 Typical High $8,511.38 | Facility | None | $758.58 | $2,691.53 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,513.56 Typical High $6,165.95 | Professional | None | $660.69 | $1,513.56 | $6,165.95 |
AmeriHealth Setting Facility Modifier None Typical Low $4,677.35 Median $6,025.60 Typical High $12,302.69 | Facility | None | $4,677.35 | $6,025.60 | $12,302.69 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Geisinger Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Highmark BCBS Setting Facility Modifier None Typical Low $912.01 Median $6,606.93 Typical High $15,135.61 | Facility | None | $912.01 | $6,606.93 | $15,135.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $426.58 Median $954.99 Typical High $1,778.28 | Professional | None | $426.58 | $954.99 | $1,778.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $12,302.69 | Facility | None | $3,548.13 | $6,025.60 | $12,302.69 |
Martin's Point Setting Facility Modifier None Typical Low $758.58 Median $2,754.23 Typical High $8,709.64 | Facility | None | $758.58 | $2,754.23 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $660.69 Median $1,584.89 Typical High $7,244.36 | Professional | None | $660.69 | $1,584.89 | $7,244.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $3,090.30 | Facility | None | $1,348.96 | $1,949.84 | $3,090.30 |
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 |
2 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 |
|---|---|---|---|---|---|
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | 50 · Both sides | $58,884.37 | $58,884.37 | $58,884.37 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41,686.94 Median $43,651.58 Typical High $43,651.58 | Professional | 78 · Unplanned return to OR | $41,686.94 | $43,651.58 | $43,651.58 |
Where Pennsylvania sits
The same service costs 72.4 times more in Alaska than in Montana. 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· 20th of 51
$1,585
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.