How much rates vary
Facilitymedian $501 · 10th to 90th $295 to $3,802Professionalmedian $589 · 10th to 90th $525 to $724
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 $2,454.71 Typical High $8,317.64 | Facility | None | $724.44 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $724.44 | Professional | None | $295.12 | $549.54 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $275.42 Typical High $363.08 | Professional | 52 · Reduced service | $144.54 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $109.65 Typical High $144.54 | Professional | 53 · Discontinued | $58.88 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $416.87 Typical High $549.54 | Professional | 54 · Surgery only | $218.78 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $83.18 Typical High $109.65 | Professional | 55 · Aftercare only | $43.65 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $54.95 Typical High $72.44 | Professional | 56 · Pre-op care only | $29.51 | $54.95 | $72.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Professional | None | $588.84 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $645.65 | Facility | None | $309.03 | $426.58 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Geisinger Setting Facility Modifier None Typical Low $295.12 Median $363.08 Typical High $645.65 | Facility | None | $295.12 | $363.08 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,019.95 | Professional | None | $549.54 | $1,000.00 | $3,019.95 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,344.23 Typical High $7,244.36 | Facility | None | $724.44 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $724.44 | Professional | None | $389.05 | $549.54 | $724.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $275.42 Typical High $363.08 | Professional | 52 · Reduced service | $190.55 | $275.42 | $363.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $109.65 Typical High $144.54 | Professional | 53 · Discontinued | $77.62 | $109.65 | $144.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $416.87 Typical High $549.54 | Professional | 54 · Surgery only | $288.40 | $416.87 | $549.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $83.18 Typical High $109.65 | Professional | 55 · Aftercare only | $57.54 | $83.18 | $109.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $54.95 Typical High $72.44 | Professional | 56 · Pre-op care only | $38.90 | $54.95 | $72.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $537.03 Median $575.44 Typical High $870.96 | Facility | None | $537.03 | $575.44 | $870.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $870.96 | Professional | None | $537.03 | $575.44 | $870.96 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $1,862.09 | Facility | None | $199.53 | $436.52 | $1,862.09 |
United Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $954.99 | Professional | None | $467.74 | $524.81 | $954.99 |
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 $891.25 Median $912.01 Typical High $912.01 | Professional | 50 · Both sides | $891.25 | $912.01 | $912.01 |
Where Pennsylvania sits
The same service costs 3.6 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· 44th of 51
$589
AK $1,778FL $490
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.