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 $1,023.29 Median $5,623.41 Typical High $8,709.64 | Facility | None | $1,023.29 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,513.56 Typical High $6,165.95 | Professional | None | $691.83 | $1,513.56 | $6,165.95 |
AmeriHealth Setting Facility Modifier None Typical Low $5,495.41 Median $6,918.31 Typical High $17,378.01 | Facility | None | $5,495.41 | $6,918.31 | $17,378.01 |
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 $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 $4,265.80 Median $8,511.38 Typical High $26,302.68 | Facility | None | $4,265.80 | $8,511.38 | $26,302.68 |
Independence Blue Cross Setting Facility Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $16,595.87 | Facility | None | $5,128.61 | $6,918.31 | $16,595.87 |
Martin's Point Setting Facility Modifier None Typical Low $1,047.13 Median $5,370.32 Typical High $8,709.64 | Facility | None | $1,047.13 | $5,370.32 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $691.83 Median $1,513.56 Typical High $6,165.95 | Professional | None | $691.83 | $1,513.56 | $6,165.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $4,786.30 | Facility | None | $2,398.83 | $3,715.35 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,398.83 | $6,918.31 |
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 50 · Both sides Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | 50 · Both sides | $58,884.37 | $58,884.37 | $58,884.37 |
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 346.7 times more in Colorado 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· 29th of 51
$3,715
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.