How much rates vary
Facilitymedian $4,467 · 10th to 90th $407 to $12,023Professionalmedian $427 · 10th to 90th $380 to $813
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 $4,897.79 Typical High $8,511.38 | Facility | None | $588.84 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $446.68 | Professional | None | $389.05 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $323.59 Typical High $331.13 | Professional | 54 · Surgery only | $288.40 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $302.00 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $269.15 | $302.00 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | None | $562.34 | $741.31 | $741.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $8,709.64 Median $12,022.64 Typical High $56,234.13 | Facility | None | $8,709.64 | $12,022.64 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $831.76 | Professional | None | $416.87 | $660.69 | $831.76 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $524.81 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $331.13 | $524.81 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $812.83 | Professional | None | $380.19 | $398.11 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $870.96 | Professional | None | $467.74 | $630.96 | $870.96 |
Geisinger Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $776.25 | Professional | None | $380.19 | $436.52 | $776.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $13,182.57 Typical High $32,359.37 | Facility | None | $6,456.54 | $13,182.57 | $32,359.37 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $4,570.88 Typical High $8,511.38 | Facility | None | $724.44 | $4,570.88 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $446.68 | Professional | None | $389.05 | $426.58 | $446.68 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $331.13 | Professional | 54 · Surgery only | $288.40 | $316.23 | $331.13 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $302.00 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $269.15 | $302.00 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $812.83 | Professional | None | $416.87 | $416.87 | $812.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $10,964.78 | Facility | None | $407.38 | $407.38 | $10,964.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $407.38 | Professional | None | $389.05 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $19,498.45 | Facility | None | $2,398.83 | $4,786.30 | $19,498.45 |
United Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $676.08 | Professional | None | $363.08 | $426.58 | $676.08 |
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 |
|---|---|---|---|---|---|
UPMC Health Plan Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 62 · Two surgeons | $331.13 | $331.13 | $331.13 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 41st of 51
$437
AK $1,318UT $302
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.