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 $724.44 Median $5,370.32 Typical High $8,511.38 | Facility | None | $724.44 | $5,370.32 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $7,244.36 | Professional | None | $707.95 | $891.25 | $7,244.36 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $8,709.64 | Facility | None | $1,202.26 | $1,412.54 | $8,709.64 |
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 $50.12 Median $95.50 Typical High $1,318.26 | Facility | None | $50.12 | $95.50 | $1,318.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $234.42 | Facility | None | $18.20 | $33.88 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $4,897.79 Typical High $8,709.64 | Facility | None | $831.76 | $4,897.79 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $707.95 Median $1,513.56 Typical High $7,244.36 | Professional | None | $707.95 | $1,513.56 | $7,244.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $64.57 | Facility | None | $28.18 | $40.74 | $64.57 |
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 |
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 $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 34.7 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.
Pennsylvania· 36th of 51
$355
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.