How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $2,570 · 10th to 90th $2,089 to $4,266
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 $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $1,819.70 |
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 $2,137.96 Median $3,388.44 Typical High $4,570.88 | Professional | None | $2,137.96 | $3,388.44 | $4,570.88 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,754.23 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,754.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $676.08 Typical High $2,290.87 | Facility | None | $120.23 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,454.71 | $4,365.16 |
Emblem Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,548.13 | Professional | None | $3,090.30 | $3,090.30 | $3,548.13 |
Geisinger Setting Professional Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,344.23 | $2,951.21 | $4,897.79 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,570.40 | $2,570.40 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $1,949.84 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,819.70 | $1,819.70 |
Oscar Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $4,786.30 | Professional | None | $15.14 | $15.14 | $4,786.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,089.30 | $2,137.96 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,884.03 | $4,570.88 |
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 $3,235.94 Median $5,128.61 Typical High $6,606.93 | Professional | 50 · Both sides | $3,235.94 | $5,128.61 | $6,606.93 |
Where Pennsylvania sits
The same service costs 6.3 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· 39th of 51
$2,399
AK $8,710TX $1,380
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.