How much rates vary
Facilitymedian $355 · 10th to 90th $224 to $1,660Professionalmedian $257 · 10th to 90th $191 to $468
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 $190.55 Median $190.55 Typical High $208.93 | Facility | None | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $223.87 | Professional | None | $190.55 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $22.39 |
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 $371.54 Median $467.74 Typical High $467.74 | Professional | None | $371.54 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $2,570.40 | Professional | None | $257.04 | $257.04 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $933.25 | Professional | None | $512.86 | $794.33 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Geisinger Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $478.63 | Professional | None | $245.47 | $281.84 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $223.87 | Professional | None | $190.55 | $208.93 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $104.71 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $42.66 | $44.67 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $33.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $22.39 |
Oscar Health Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $831.76 | Professional | None | $338.84 | $562.34 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $1,000.00 Typical High $1,737.80 | Facility | None | $223.87 | $1,000.00 | $1,737.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | None | $223.87 | $223.87 | $446.68 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $758.58 | Facility | None | $234.42 | $309.03 | $758.58 |
United Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $389.05 | Professional | None | $190.55 | $229.09 | $389.05 |
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 $416.87 Median $467.74 Typical High $467.74 | Professional | 50 · Both sides | $416.87 | $467.74 | $467.74 |
Where Pennsylvania sits
The same service costs 3.5 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· 48th of 51
$257
HI $832FL $240
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.