How much rates vary
Facilitymedian $65 · 10th to 90th $65 to $4,266Professionalmedian $62 · 10th to 90th $50 to $83
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 $50.12 Median $52.48 Typical High $52.48 | Facility | None | $50.12 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.25 |
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 $74.13 Median $83.18 Typical High $83.18 | Professional | None | $74.13 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $147.91 | Professional | None | $89.13 | $112.20 | $147.91 |
Geisinger Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Geisinger Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $85.11 | Professional | None | $43.65 | $44.67 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.94 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.25 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $186.21 | Professional | None | $79.43 | $85.11 | $186.21 |
UPMC Health Plan Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $87.10 | Facility | None | $67.61 | $67.61 | $87.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | None | $67.61 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $67.61 | Professional | None | $45.71 | $51.29 | $67.61 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | RR · Rental | $64.57 | $64.57 | $64.57 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 26th of 51
$61.66
HI $115RI $46.77
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.