How much rates vary
Facilitymedian $550 · 10th to 90th $479 to $4,266Professionalmedian $457 · 10th to 90th $339 to $813
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 $338.84 Median $338.84 Typical High $371.54 | Facility | None | $338.84 | $338.84 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $398.11 | Professional | None | $338.84 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $169.82 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $67.61 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $39.81 |
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 $676.08 Median $812.83 Typical High $812.83 | Professional | None | $676.08 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $4,570.88 | Professional | None | $371.54 | $371.54 | $4,570.88 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,621.81 | Professional | None | $891.25 | $1,412.54 | $1,621.81 |
Geisinger Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $831.76 | Professional | None | $436.52 | $501.19 | $831.76 |
Highmark BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $398.11 | Professional | None | $338.84 | $371.54 | $398.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $169.82 | $186.21 | $199.53 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $67.61 | $74.13 | $79.43 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $39.81 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,445.44 | Professional | None | $588.84 | $1,000.00 | $1,445.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $588.84 Median $2,691.53 Typical High $4,570.88 | Facility | None | $588.84 | $2,691.53 | $4,570.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | None | $588.84 | $588.84 | $776.25 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,348.96 | Facility | None | $478.63 | $549.54 | $1,348.96 |
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $676.08 | Professional | None | $338.84 | $407.38 | $676.08 |
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 $741.31 Median $812.83 Typical High $812.83 | Professional | 50 · Both sides | $741.31 | $812.83 | $812.83 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 33rd of 51
$501
HI $1,202DE $372
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.