How much rates vary
Facilitymedian $372 · 10th to 90th $269 to $2,042Professionalmedian $282 · 10th to 90th $234 to $575
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 $234.42 Median $234.42 Typical High $257.04 | Facility | None | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $275.42 | Professional | None | $234.42 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $27.54 |
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 $467.74 Median $575.44 Typical High $575.44 | Professional | None | $467.74 | $575.44 | $575.44 |
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 $3,090.30 | Professional | None | $275.42 | $275.42 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $954.99 | Professional | None | $524.81 | $831.76 | $954.99 |
Geisinger Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Geisinger Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $575.44 | Professional | None | $302.00 | $346.74 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $275.42 | Professional | None | $234.42 | $257.04 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $128.82 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $51.29 | $54.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $40.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $27.54 |
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $851.14 | Professional | None | $512.86 | $794.33 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $1,230.27 Typical High $2,137.96 | Facility | None | $269.15 | $1,230.27 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $537.03 | Professional | None | $269.15 | $269.15 | $537.03 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $912.01 | Facility | None | $269.15 | $371.54 | $912.01 |
United Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $478.63 | Professional | None | $229.09 | $281.84 | $478.63 |
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 $512.86 Median $575.44 Typical High $575.44 | Professional | 50 · Both sides | $512.86 | $575.44 | $575.44 |
Where Pennsylvania sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 49th of 51
$282
HI $813VT $275
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.