How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $2,344 · 10th to 90th $1,905 to $3,890
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 $2,089.30 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,659.59 |
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 $1,949.84 Median $3,090.30 Typical High $4,168.69 | Professional | None | $1,949.84 | $3,090.30 | $4,168.69 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,630.27 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,630.27 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $2,290.87 | Facility | None | $380.19 | $645.65 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,890.45 | Professional | None | $1,905.46 | $2,238.72 | $3,890.45 |
Emblem Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,818.38 | $2,818.38 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,630.27 | $4,466.84 |
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 $2,089.30 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,344.23 | $2,344.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,778.28 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,659.59 |
Oscar Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $4,365.16 | Professional | None | $15.14 | $15.14 | $4,365.16 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,905.46 | $2,238.72 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,238.72 | Professional | None | $1,905.46 | $1,995.26 | $2,238.72 |
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 $1,862.09 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,862.09 | $2,630.27 | $4,168.69 |
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 $2,884.03 Median $4,466.84 Typical High $6,025.60 | Professional | 50 · Both sides | $2,884.03 | $4,466.84 | $6,025.60 |
Where Pennsylvania sits
The same service costs 7.7 times more in Alabama than in Washington. 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.
Physician feeFacility fee
AL $19,737WA $2,562
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.