How much rates vary
Facilitymedian $468 · 10th to 90th $398 to $1,023Professionalmedian $398 · 10th to 90th $389 to $417
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 $389.05 Median $537.03 Typical High $1,023.29 | Facility | None | $389.05 | $537.03 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | None | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $39.81 | $40.74 | $40.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $512.86 | Facility | None | $380.19 | $436.52 | $512.86 |
Capital Blue Cross Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $1,548.82 | Facility | None | $398.11 | $676.08 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Geisinger Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
Martin's Point Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $1,023.29 | Facility | None | $398.11 | $575.44 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | None | $398.11 | $407.38 | $407.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $79.43 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $39.81 | $40.74 | $40.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $489.78 | Facility | None | $354.81 | $467.74 | $489.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | None | $389.05 | $389.05 | $537.03 |
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 $199.53 Median $199.53 Typical High $1,905.46 | Facility | JZ · No drug discarded | $199.53 | $199.53 | $1,905.46 |
Where Pennsylvania sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 15th of 51
$407
AZ $646AL $234
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.