How much rates vary
Facilitymedian $447 · 10th to 90th $389 to $661Professionalmedian $417 · 10th to 90th $372 to $427
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 $407.38 Median $588.84 Typical High $1,023.29 | Facility | None | $407.38 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $41.69 |
Capital Blue Cross Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $524.81 | Facility | None | $389.05 | $446.68 | $524.81 |
Capital Blue Cross Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None | $380.19 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | None | $426.58 | $426.58 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $588.84 | Professional | None | $426.58 | $446.68 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Geisinger Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $691.83 | Professional | None | $281.84 | $426.58 | $691.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | None | $407.38 | $407.38 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,023.29 | Facility | None | $407.38 | $588.84 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $41.69 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $724.44 | Professional | None | $0.60 | $30.20 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $501.19 | Facility | None | $331.13 | $478.63 | $501.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $389.05 | Professional | None | $331.13 | $338.84 | $389.05 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $436.52 | Professional | None | $363.08 | $416.87 | $436.52 |
2 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | JW · Drug discarded | $346.74 | $346.74 | $346.74 |
Highmark BCBS Setting Facility Modifier JW · Drug discarded Typical Low $223.87 Median $794.33 Typical High $1,288.25 | Facility | JW · Drug discarded | $223.87 | $794.33 | $1,288.25 |
Where Pennsylvania sits
The same service costs 1.5 times more in Alaska than in Oklahoma. 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· 23rd of 51
$417
AK $589OK $389
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.