How much rates vary
Facilitymedian $398 · 10th to 90th $295 to $3,802Professionalmedian $398 · 10th to 90th $295 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 $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $346.74 | Professional | None | $295.12 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $52.48 | Professional | 55 · Aftercare only | $44.67 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $33.11 | $34.67 |
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 $588.84 Median $724.44 Typical High $724.44 | Professional | None | $588.84 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $3,548.13 | Professional | None | $295.12 | $295.12 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,479.11 | Professional | None | $794.33 | $1,258.93 | $1,479.11 |
Geisinger Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Geisinger Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $741.31 | Professional | None | $380.19 | $446.68 | $741.31 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $346.74 | Professional | None | $295.12 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $165.96 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $66.07 | $69.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $52.48 | Professional | 55 · Aftercare only | $44.67 | $48.98 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $33.11 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $1,230.27 Typical High $1,288.25 | Professional | None | $524.81 | $1,230.27 | $1,288.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $512.86 Median $2,344.23 Typical High $4,073.80 | Facility | None | $512.86 | $2,344.23 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $1,047.13 | Facility | None | $295.12 | $331.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $588.84 | Professional | None | $281.84 | $363.08 | $588.84 |
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 $645.65 Median $724.44 Typical High $724.44 | Professional | 50 · Both sides | $645.65 | $724.44 | $724.44 |
Where Pennsylvania sits
The same service costs 3.0 times more in Montana 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· 22nd of 51
$398
MT $871FL $295
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.