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 $537.03 Median $2,137.96 Typical High $8,317.64 | Facility | None | $537.03 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $676.08 Typical High $891.25 | Professional | None | $141.25 | $676.08 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $162.18 Typical High $645.65 | Professional | 54 · Surgery only | $107.15 | $162.18 | $645.65 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,412.54 | Professional | None | $691.83 | $1,096.48 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $1,230.27 | Facility | None | $426.58 | $645.65 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $1,202.26 | Professional | None | $154.88 | $389.05 | $1,202.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,258.93 | $1,288.25 |
Geisinger Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,380.38 | Facility | None | $630.96 | $776.25 | $1,380.38 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $891.25 Typical High $1,513.56 | Professional | None | $208.93 | $891.25 | $1,513.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $6,606.93 | Facility | None | $4,365.16 | $4,570.88 | $6,606.93 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $7,244.36 | Facility | None | $537.03 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $141.25 Median $676.08 Typical High $933.25 | Professional | None | $141.25 | $676.08 | $933.25 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $162.18 Typical High $645.65 | Professional | 54 · Surgery only | $107.15 | $162.18 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,819.70 | Professional | None | $891.25 | $954.99 | $1,819.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $154.88 Median $954.99 Typical High $2,570.40 | Facility | None | $154.88 | $954.99 | $2,570.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $707.95 Typical High $758.58 | Professional | None | $154.88 | $707.95 | $758.58 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,981.07 | Facility | None | $812.83 | $1,318.26 | $3,981.07 |
United Setting Professional Modifier None Typical Low $165.96 Median $512.86 Typical High $1,202.26 | Professional | None | $165.96 | $512.86 | $1,202.26 |
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 $1,047.13 Median $1,621.81 Typical High $2,089.30 | Professional | 50 · Both sides | $1,047.13 | $1,621.81 | $2,089.30 |
Where Pennsylvania sits
The same service costs 4.0 times more in Wisconsin 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· 36th of 51
$724
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.