How much rates vary
Facilitymedian $891 · 10th to 90th $708 to $5,012Professionalmedian $776 · 10th to 90th $646 to $1,549
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 $645.65 Median $645.65 Typical High $707.95 | Facility | None | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $758.58 | Professional | None | $645.65 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $128.82 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $112.20 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $75.86 |
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 $1,258.93 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,762.47 | Professional | None | $645.65 | $645.65 | $7,762.47 |
Emblem Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,348.96 | $2,089.30 | $2,454.71 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,584.89 | Professional | None | $831.76 | $954.99 | $1,584.89 |
Martin's Point Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Martin's Point Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $758.58 | Professional | None | $645.65 | $707.95 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $354.81 | $371.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $128.82 | $141.25 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $112.20 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $112.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,137.96 | Professional | None | $891.25 | $1,479.11 | $2,137.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $5,754.40 | Facility | None | $741.31 | $3,388.44 | $5,754.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | None | $741.31 | $741.31 | $1,479.11 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $2,344.23 | Facility | None | $707.95 | $870.96 | $2,344.23 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,288.25 | Professional | None | $616.60 | $776.25 | $1,288.25 |
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 $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | 50 · Both sides | $1,412.54 | $1,548.82 | $1,548.82 |
Where Pennsylvania sits
The same service costs 3.0 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· 45th of 51
$776
HI $1,950DE $646
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.