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 $5,370.32 Typical High $8,511.38 | Facility | None | $724.44 | $5,370.32 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $7,244.36 | Professional | None | $707.95 | $891.25 | $7,244.36 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $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 $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $4,897.79 Typical High $8,709.64 | Facility | None | $831.76 | $4,897.79 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $707.95 Median $1,513.56 Typical High $7,244.36 | Professional | None | $707.95 | $1,513.56 | $7,244.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $61.66 | Facility | None | $27.54 | $38.90 | $61.66 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
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 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 |
Where Pennsylvania sits
The same service costs 281.8 times more in Wisconsin 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· 43rd of 51
$708
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.