How much rates vary
Facilitymedian $1,479 · 10th to 90th $692 to $5,248Professionalmedian $631 · 10th to 90th $151 to $1,000
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 $588.84 Median $2,951.21 Typical High $8,511.38 | Facility | None | $588.84 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $645.65 Typical High $1,000.00 | Professional | None | $151.36 | $645.65 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $213.80 Typical High $741.31 | Professional | 54 · Surgery only | $112.20 | $213.80 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $199.53 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $104.71 | $199.53 | $691.83 |
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 $776.25 Median $794.33 Typical High $1,174.90 | Professional | None | $776.25 | $794.33 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $645.65 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $616.60 | $645.65 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,202.26 Typical High $2,238.72 | Facility | None | $549.54 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $363.08 Typical High $794.33 | Professional | None | $141.25 | $363.08 | $794.33 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Geisinger Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,318.26 | $2,290.87 |
Geisinger Setting Professional Modifier None Typical Low $234.42 Median $741.31 Typical High $1,348.96 | Professional | None | $234.42 | $741.31 | $1,348.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $7,943.28 | Facility | None | $724.44 | $1,778.28 | $7,943.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $8,317.64 | Facility | None | $645.65 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $616.60 Typical High $1,000.00 | Professional | None | $151.36 | $616.60 | $1,000.00 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $213.80 Typical High $741.31 | Professional | 54 · Surgery only | $112.20 | $213.80 | $741.31 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $199.53 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $104.71 | $199.53 | $691.83 |
Oscar Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | None | $616.60 | $616.60 | $660.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $1,737.80 Typical High $4,786.30 | Facility | None | $151.36 | $1,737.80 | $4,786.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $151.36 Median $512.86 Typical High $812.83 | Professional | None | $151.36 | $512.86 | $812.83 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,265.80 | Facility | None | $812.83 | $1,318.26 | $4,265.80 |
United Setting Professional Modifier None Typical Low $151.36 Median $512.86 Typical High $912.01 | Professional | None | $151.36 | $512.86 | $912.01 |
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 $1,148.15 Median $1,202.26 Typical High $1,737.80 | Professional | 50 · Both sides | $1,148.15 | $1,202.26 | $1,737.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in Colorado than in Montana. 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 $4,667MT $1,347
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.