How much rates vary
Facilitymedian $363 · 10th to 90th $331 to $3,388Professionalmedian $331 · 10th to 90th $240 to $631
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 $257.04 Median $257.04 Typical High $288.40 | Facility | None | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $302.00 | Professional | None | $257.04 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | 56 · Pre-op care only | $25.70 | $28.84 | $30.20 |
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 $512.86 Median $630.96 Typical High $630.96 | Professional | None | $512.86 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Facility | None | $331.13 | $331.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $2,884.03 | Professional | None | $239.88 | $239.88 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $933.25 | Professional | None | $512.86 | $812.83 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $645.65 | Professional | None | $331.13 | $389.05 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Martin's Point Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $302.00 | Professional | None | $257.04 | $288.40 | $302.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $144.54 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $144.54 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $52.48 | $57.54 | $60.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $45.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | 56 · Pre-op care only | $25.70 | $28.84 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $776.25 | Professional | None | $323.59 | $501.19 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $446.68 Median $2,041.74 Typical High $3,548.13 | Facility | None | $446.68 | $2,041.74 | $3,548.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
United Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $870.96 | Facility | None | $354.81 | $363.08 | $870.96 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $489.78 | Professional | None | $239.88 | $316.23 | $489.78 |
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 $575.44 Median $630.96 Typical High $630.96 | Professional | 50 · Both sides | $575.44 | $630.96 | $630.96 |
Where Pennsylvania sits
The same service costs 4.1 times more in Hawaii 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· 26th of 51
$339
HI $1,000FL $245
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.