How much rates vary
Facilitymedian $1,202 · 10th to 90th $269 to $4,786Professionalmedian $234 · 10th to 90th $138 to $372
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 $190.55 Median $891.25 Typical High $6,165.95 | Facility | None | $190.55 | $891.25 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $288.40 | Professional | None | $128.82 | $213.80 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $138.04 Typical High $199.53 | Professional | 54 · Surgery only | $95.50 | $138.04 | $199.53 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | None | $229.09 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $1,862.09 | Facility | None | $501.19 | $977.24 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $398.11 | Professional | None | $141.25 | $245.47 | $398.11 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
Geisinger Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,137.96 | Facility | None | $977.24 | $1,202.26 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $575.44 | Professional | None | $239.88 | $346.74 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,071.52 | $4,570.88 | $9,549.93 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $1,071.52 Typical High $6,165.95 | Facility | None | $190.55 | $1,071.52 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $288.40 | Professional | None | $128.82 | $213.80 | $288.40 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $138.04 Typical High $199.53 | Professional | 54 · Surgery only | $95.50 | $138.04 | $199.53 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $524.81 | Professional | None | $281.84 | $363.08 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $912.01 Typical High $2,511.89 | Facility | None | $138.04 | $912.01 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $338.84 | Professional | None | $138.04 | $229.09 | $338.84 |
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 $147.91 Median $239.88 Typical High $416.87 | Professional | None | $147.91 | $239.88 | $416.87 |
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 $269.15 Median $363.08 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $269.15 | $363.08 | $436.52 |
Where Pennsylvania sits
The same service costs 8.5 times more in Colorado than in North Dakota. 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.
Physician feeFacility fee
CO $4,654ND $549
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.