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 $489.78 Median $4,786.30 Typical High $8,511.38 | Facility | None | $489.78 | $4,786.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $537.03 | Professional | None | $173.78 | $407.38 | $537.03 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $5,248.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $1,148.15 | Professional | None | $457.09 | $467.74 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $446.68 Typical High $870.96 | Professional | None | $190.55 | $446.68 | $870.96 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Geisinger Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $831.76 | Professional | None | $269.15 | $537.03 | $831.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $3,890.45 Typical High $8,912.51 | Facility | None | $851.14 | $3,890.45 | $8,912.51 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $4,570.88 Typical High $8,511.38 | Facility | None | $588.84 | $4,570.88 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $407.38 Typical High $524.81 | Professional | None | $165.96 | $407.38 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | None | $562.34 | $562.34 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $1,698.24 | Facility | None | $190.55 | $912.01 | $1,698.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $190.55 Median $446.68 Typical High $537.03 | Professional | None | $190.55 | $446.68 | $537.03 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $6,309.57 | Facility | None | $1,659.59 | $3,311.31 | $6,309.57 |
United Setting Professional Modifier None Typical Low $229.09 Median $467.74 Typical High $912.01 | Professional | None | $229.09 | $467.74 | $912.01 |
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 $676.08 Median $707.95 Typical High $1,698.24 | Professional | 50 · Both sides | $676.08 | $707.95 | $1,698.24 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $371.54 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $363.08 | $371.54 | $912.01 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 37th of 51
$457
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.