How much rates vary
Facilitymedian $676 · 10th to 90th $87 to $5,129Professionalmedian $302 · 10th to 90th $145 to $537
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 $371.54 Median $2,344.23 Typical High $8,317.64 | Facility | None | $371.54 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $416.87 | Professional | None | $144.54 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | 54 · Surgery only | $109.65 | $147.91 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $29.51 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $29.51 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.95 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.45 | $19.95 | $37.15 |
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 $288.40 Median $457.09 Typical High $588.84 | Professional | None | $288.40 | $457.09 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $2,511.89 | Facility | None | $501.19 | $1,445.44 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $281.84 Typical High $575.44 | Professional | None | $128.82 | $281.84 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | None | $512.86 | $512.86 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $190.55 Median $426.58 Typical High $741.31 | Professional | None | $190.55 | $426.58 | $741.31 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $416.87 | Professional | None | $144.54 | $323.59 | $416.87 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | 54 · Surgery only | $109.65 | $147.91 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $29.51 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $29.51 | $56.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.95 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.45 | $19.95 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $851.14 | Professional | None | $524.81 | $524.81 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $1,548.82 Typical High $4,073.80 | Facility | None | $131.83 | $1,548.82 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $446.68 | Professional | None | $131.83 | $288.40 | $446.68 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $575.44 | Professional | None | $138.04 | $295.12 | $575.44 |
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 $436.52 Median $676.08 Typical High $870.96 | Professional | 50 · Both sides | $436.52 | $676.08 | $870.96 |
Where Pennsylvania sits
The same service costs 3.4 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· 40th of 51
$324
AK $759NE $224
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.