How much rates vary
Facilitymedian $123 · 10th to 90th $50 to $3,467Professionalmedian $87 · 10th to 90th $63 to $141
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 $91.20 Median $2,344.23 Typical High $8,317.64 | Facility | None | $91.20 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $91.20 | Professional | None | $57.54 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $57.54 Typical High $67.61 | Professional | 54 · Surgery only | $42.66 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $39.81 Median $53.70 Typical High $63.10 | Professional | 78 · Unplanned return to OR | $39.81 | $53.70 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $162.18 | Professional | None | $91.20 | $93.33 | $162.18 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $75.86 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $72.44 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $575.44 | Facility | None | $47.86 | $69.18 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $147.91 | Professional | None | $64.57 | $83.18 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | None | $117.49 | $151.36 | $151.36 |
Geisinger Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $100.00 | Facility | None | $45.71 | $57.54 | $100.00 |
Geisinger Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $165.96 | Professional | None | $57.54 | $91.20 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Facility | None | $1,122.02 | $1,122.02 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | None | $102.33 | $102.33 | $104.71 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $91.20 | Professional | None | $57.54 | $77.62 | $91.20 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $57.54 Typical High $67.61 | Professional | 54 · Surgery only | $42.66 | $57.54 | $67.61 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $39.81 Median $53.70 Typical High $63.10 | Professional | 78 · Unplanned return to OR | $39.81 | $53.70 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None | $89.13 | $89.13 | $169.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $69.18 Typical High $87.10 | Facility | None | $64.57 | $69.18 | $87.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $87.10 | Professional | None | $64.57 | $83.18 | $87.10 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | None | $69.18 | $95.50 | $131.83 |
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 $134.90 Median $141.25 Typical High $239.88 | Professional | 50 · Both sides | $134.90 | $141.25 | $239.88 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 40th of 51
$87.10
AK $269FL $69.18
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.