How much rates vary
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 $724.44 Median $2,454.71 Typical High $8,317.64 | Facility | None | $724.44 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $758.58 Typical High $6,165.95 | Professional | None | $316.23 | $758.58 | $6,165.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
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 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $1,778.28 Typical High $10,715.19 | Facility | None | $63.10 | $1,778.28 | $10,715.19 |
Martin's Point Setting Facility Modifier None Typical Low $758.58 Median $2,454.71 Typical High $7,244.36 | Facility | None | $758.58 | $2,454.71 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $707.95 Typical High $6,165.95 | Professional | None | $316.23 | $707.95 | $6,165.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $83.18 | Facility | None | $36.31 | $52.48 | $83.18 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,412.54 | Facility | None | $77.62 | $158.49 | $1,412.54 |
2 more rates 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 78 · Unplanned return to OR Typical Low $41,686.94 Median $43,651.58 Typical High $43,651.58 | Professional | 78 · Unplanned return to OR | $41,686.94 | $43,651.58 | $43,651.58 |
Highmark BCBS Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 51 · Multiple procedures | $204.17 | $204.17 | $204.17 |
Where Pennsylvania sits
The same service costs 190.5 times more in Oklahoma than in Hawaii. 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· 31st of 51
$676
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.