How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,288 to $8,511Professionalmedian $1,479 · 10th to 90th $1,175 to $2,399
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 $1,023.29 Median $4,897.79 Typical High $8,511.38 | Facility | None | $1,023.29 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,000.00 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $933.25 | $1,023.29 | $1,023.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $12,022.64 Typical High $56,234.13 | Facility | None | $3,981.07 | $12,022.64 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,949.84 | $2,570.40 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,584.89 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,584.89 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,090.30 Typical High $5,754.40 | Facility | None | $1,000.00 | $3,090.30 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,412.54 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,737.80 | $1,737.80 | $1,995.26 |
Geisinger Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,659.59 | $2,884.03 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $4,786.30 Typical High $8,511.38 | Facility | None | $1,023.29 | $4,786.30 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,479.11 | $1,479.11 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,000.00 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $933.25 | $1,023.29 | $1,023.29 |
Oscar Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,288.25 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,230.27 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $8,511.38 | Facility | None | $1,698.24 | $3,235.94 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,621.81 | $2,570.40 |
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 $1,819.70 Median $2,818.38 Typical High $3,715.35 | Professional | 50 · Both sides | $1,819.70 | $2,818.38 | $3,715.35 |
Where Pennsylvania sits
The same service costs 5.4 times more in Wisconsin 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· 43rd of 51
$1,549
WI $5,248TX $977
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.