How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,380 to $7,762Professionalmedian $1,445 · 10th to 90th $1,259 to $2,884
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 $1,288.25 Median $1,288.25 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,288.25 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $630.96 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $251.19 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $199.53 Typical High $208.93 | Professional | 55 · Aftercare only | $190.55 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $125.89 | $134.90 | $141.25 |
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 $2,344.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $15,488.17 | Professional | None | $1,258.93 | $1,258.93 | $15,488.17 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $5,248.07 | Professional | None | $2,884.03 | $4,466.84 | $5,248.07 |
Geisinger Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Geisinger Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,513.56 | $1,737.80 | $2,951.21 |
Martin's Point Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Martin's Point Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,348.96 | $1,412.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $645.65 | $676.08 | $707.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $269.15 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $204.17 Typical High $208.93 | Professional | 55 · Aftercare only | $190.55 | $204.17 | $208.93 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $128.82 | $134.90 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $1,862.09 Median $4,365.16 Typical High $4,570.88 | Professional | None | $1,862.09 | $4,365.16 | $4,570.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,380.38 Median $6,309.57 Typical High $10,715.19 | Facility | None | $1,380.38 | $6,309.57 | $10,715.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,380.38 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,621.81 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,445.44 | $2,398.83 |
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 $2,570.40 Median $2,884.03 Typical High $2,884.03 | Professional | 50 · Both sides | $2,570.40 | $2,884.03 | $2,884.03 |
Where Pennsylvania sits
The same service costs 2.7 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· 49th of 51
$1,445
HI $3,388DE $1,259
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.