How much rates vary
Facilitymedian $603 · 10th to 90th $513 to $1,862Professionalmedian $513 · 10th to 90th $501 to $562
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 $512.86 Median $758.58 Typical High $1,318.26 | Facility | None | $512.86 | $758.58 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $5,011.87 | Facility | None | $489.78 | $562.34 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | None | $537.03 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $1,949.84 | Facility | None | $512.86 | $851.14 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Geisinger Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Geisinger Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,318.26 | Facility | None | $512.86 | $758.58 | $1,318.26 |
Martin's Point Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $407.38 Median $602.56 Typical High $630.96 | Facility | None | $407.38 | $602.56 | $630.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $691.83 | Professional | None | $501.19 | $501.19 | $691.83 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier JZ · No drug discarded Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | JZ · No drug discarded | $478.63 | $478.63 | $478.63 |
Where Pennsylvania sits
The same service costs 1.6 times more in Arizona than in Nebraska. 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· 43rd of 51
$513
AZ $813NE $501
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.