How much rates vary
Facilitymedian $2,399 · 10th to 90th $977 to $6,607Professionalmedian $933 · 10th to 90th $295 to $1,905
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 $537.03 Median $3,630.78 Typical High $7,943.28 | Facility | None | $537.03 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $912.01 Typical High $1,318.26 | Professional | None | $295.12 | $912.01 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $302.00 Typical High $933.25 | Professional | 54 · Surgery only | $218.78 | $302.00 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $60.26 Typical High $186.21 | Professional | 55 · Aftercare only | $44.67 | $60.26 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $40.74 Typical High $125.89 | Professional | 56 · Pre-op care only | $29.51 | $40.74 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
AmeriHealth Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $12,302.69 | Facility | None | $2,951.21 | $3,715.35 | $12,302.69 |
AmeriHealth Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None | $489.78 | $489.78 | $501.19 |
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 $912.01 Median $1,479.11 Typical High $2,290.87 | Professional | None | $912.01 | $1,479.11 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,819.70 Typical High $3,311.31 | Facility | None | $575.44 | $1,819.70 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $776.25 Typical High $2,041.74 | Professional | None | $263.03 | $776.25 | $2,041.74 |
Emblem Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,698.24 | Professional | None | $1,621.81 | $1,621.81 | $1,698.24 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $3,467.37 | Facility | None | $1,584.89 | $1,949.84 | $3,467.37 |
Geisinger Setting Professional Modifier None Typical Low $389.05 Median $1,412.54 Typical High $2,818.38 | Professional | None | $389.05 | $1,412.54 | $2,818.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $10,964.78 | Facility | None | $5,128.61 | $7,943.28 | $10,964.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $1,047.13 | Professional | None | $354.81 | $426.58 | $1,047.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $8,912.51 | Facility | None | $2,691.53 | $3,715.35 | $8,912.51 |
Independence Blue Cross Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,090.30 Typical High $6,760.83 | Facility | None | $537.03 | $3,090.30 | $6,760.83 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $912.01 Typical High $1,380.38 | Professional | None | $295.12 | $912.01 | $1,380.38 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $302.00 Typical High $933.25 | Professional | 54 · Surgery only | $218.78 | $302.00 | $933.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $60.26 Typical High $186.21 | Professional | 55 · Aftercare only | $44.67 | $60.26 | $186.21 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $40.74 Typical High $125.89 | Professional | 56 · Pre-op care only | $29.51 | $40.74 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,454.71 | $2,454.71 | $3,162.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $1,778.28 Typical High $4,073.80 | Facility | None | $389.05 | $1,778.28 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $269.15 Median $933.25 Typical High $1,412.54 | Professional | None | $269.15 | $933.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $5,623.41 | Facility | None | $1,148.15 | $1,905.46 | $5,623.41 |
United Setting Professional Modifier None Typical Low $281.84 Median $870.96 Typical High $2,137.96 | Professional | None | $281.84 | $870.96 | $2,137.96 |
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 $1,380.38 Median $2,238.72 Typical High $3,311.31 | Professional | 50 · Both sides | $1,380.38 | $2,238.72 | $3,311.31 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 33rd of 51
$1,202
AK $2,512NE $525
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.