How much rates vary
Facilitymedian $1,995 · 10th to 90th $589 to $5,754Professionalmedian $550 · 10th to 90th $437 to $912
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 $588.84 Median $3,801.89 Typical High $8,317.64 | Facility | None | $588.84 | $3,801.89 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $630.96 | Professional | None | $489.78 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $346.74 | $389.05 | $389.05 |
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 $457.09 Median $724.44 Typical High $977.24 | Professional | None | $457.09 | $724.44 | $977.24 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $588.84 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $380.19 | $588.84 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $2,691.53 | Facility | None | $549.54 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $954.99 | Professional | None | $436.52 | $524.81 | $954.99 |
Emblem Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
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 $467.74 Median $616.60 Typical High $1,047.13 | Professional | None | $467.74 | $616.60 | $1,047.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $16,982.44 | Facility | None | $1,513.56 | $1,513.56 | $16,982.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $3,715.35 Typical High $8,317.64 | Facility | None | $588.84 | $3,715.35 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $630.96 | Professional | None | $489.78 | $549.54 | $630.96 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $346.74 | $389.05 | $389.05 |
Oscar Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $977.24 | Professional | None | $549.54 | $549.54 | $977.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,778.28 Typical High $4,073.80 | Facility | None | $416.87 | $1,778.28 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $524.81 | Professional | None | $416.87 | $446.68 | $524.81 |
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 $436.52 Median $588.84 Typical High $977.24 | Professional | None | $436.52 | $588.84 | $977.24 |
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 $676.08 Median $1,047.13 Typical High $1,412.54 | Professional | 50 · Both sides | $676.08 | $1,047.13 | $1,412.54 |
Where Pennsylvania sits
The same service costs 5.3 times more in Wisconsin than in Montana. 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
WI $7,610MT $1,433
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.