How much rates vary
Facilitymedian $120 · 10th to 90th $58 to $5,012Professionalmedian $95 · 10th to 90th $54 to $123
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $57.54 Median $109.65 Typical High $1,412.54 | Facility | None | $57.54 | $109.65 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $120.23 | Professional | None | $53.70 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $60.26 | Professional | 52 · Reduced service | $26.92 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.14 Typical High $23.99 | Professional | 53 · Discontinued | $10.72 | $15.14 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.22 Typical High $18.20 | Professional | 55 · Aftercare only | $8.13 | $11.22 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.59 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.37 | $7.59 | $12.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | None | $120.23 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $85.11 Typical High $112.20 | Professional | None | $40.74 | $85.11 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | None | $134.90 | $134.90 | $186.21 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $190.55 | Professional | None | $72.44 | $112.20 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $57.54 Median $120.23 Typical High $1,862.09 | Facility | None | $57.54 | $120.23 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $120.23 | Professional | None | $53.70 | $75.86 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.02 Typical High $60.26 | Professional | 52 · Reduced service | $26.92 | $38.02 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.14 Typical High $23.99 | Professional | 53 · Discontinued | $10.72 | $15.14 | $23.99 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.22 Typical High $18.20 | Professional | 55 · Aftercare only | $8.13 | $11.22 | $18.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.59 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.37 | $7.59 | $12.02 |
Oscar Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $117.49 | Facility | None | $58.88 | $63.10 | $117.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $117.49 | Professional | None | $63.10 | $87.10 | $117.49 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | None | $39.81 | $64.57 | $125.89 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 20th of 51
$95.50
AK $178MD $64.57
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.