How much rates vary
Facilitymedian $372 · 10th to 90th $347 to $2,754Professionalmedian $324 · 10th to 90th $214 to $525
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 $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $251.19 | Professional | None | $213.80 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $25.12 |
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 $416.87 Median $524.81 Typical High $524.81 | Professional | None | $416.87 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $2,951.21 | Professional | None | $275.42 | $275.42 | $2,951.21 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,023.29 | Professional | None | $562.34 | $891.25 | $1,023.29 |
Geisinger Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $537.03 | Professional | None | $275.42 | $323.59 | $537.03 |
Martin's Point Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $251.19 | Professional | None | $213.80 | $239.88 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $120.23 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $47.86 | $50.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $38.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $851.14 Typical High $912.01 | Professional | None | $371.54 | $851.14 | $912.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,698.24 Typical High $2,884.03 | Facility | None | $371.54 | $1,698.24 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None | $371.54 | $371.54 | $501.19 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $851.14 | Facility | None | $346.74 | $346.74 | $851.14 |
United Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $436.52 | Professional | None | $213.80 | $263.03 | $436.52 |
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 $467.74 Median $524.81 Typical High $524.81 | Professional | 50 · Both sides | $467.74 | $524.81 | $524.81 |
Where Pennsylvania sits
The same service costs 4.5 times more in Hawaii than in Kansas. 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
$347
HI $912KS $204
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.