How much rates vary
Facilitymedian $1,000 · 10th to 90th $380 to $4,898Professionalmedian $302 · 10th to 90th $155 to $525
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 $338.84 Median $2,951.21 Typical High $8,511.38 | Facility | None | $338.84 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $338.84 | Professional | None | $151.36 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | 52 · Reduced service | $75.86 | $107.15 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $43.65 Typical High $67.61 | Professional | 53 · Discontinued | $30.20 | $43.65 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $162.18 Typical High $257.04 | Professional | 54 · Surgery only | $114.82 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $32.36 Typical High $51.29 | Professional | 55 · Aftercare only | $22.91 | $32.36 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.38 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.14 | $21.38 | $33.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $575.44 | Professional | None | $302.00 | $478.63 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $794.33 Typical High $1,412.54 | Facility | None | $338.84 | $794.33 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $489.78 | Professional | None | $158.49 | $288.40 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None | $512.86 | $512.86 | $524.81 |
Geisinger Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,778.28 | Facility | None | $812.83 | $1,023.29 | $1,778.28 |
Geisinger Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $524.81 | Professional | None | $186.21 | $323.59 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $338.84 | Professional | None | $151.36 | $288.40 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | 52 · Reduced service | $75.86 | $107.15 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $43.65 Typical High $67.61 | Professional | 53 · Discontinued | $30.20 | $43.65 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $162.18 Typical High $257.04 | Professional | 54 · Surgery only | $114.82 | $162.18 | $257.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $32.36 Typical High $51.29 | Professional | 55 · Aftercare only | $22.91 | $32.36 | $51.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.38 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.14 | $21.38 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $602.56 | Professional | None | $245.47 | $288.40 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $812.83 Typical High $1,862.09 | Facility | None | $204.17 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $316.23 | Professional | None | $154.88 | $295.12 | $316.23 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $144.54 Median $263.03 Typical High $478.63 | Professional | None | $144.54 | $263.03 | $478.63 |
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 $446.68 Median $707.95 Typical High $870.96 | Professional | 50 · Both sides | $446.68 | $707.95 | $870.96 |
Where Pennsylvania sits
The same service costs 3.9 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
$309
AK $933KY $240
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.