How much rates vary
Facilitymedian $347 · 10th to 90th $251 to $2,239Professionalmedian $316 · 10th to 90th $251 to $631
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 $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $309.03 | Professional | None | $275.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | 55 · Aftercare only | $41.69 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $28.18 | $30.90 |
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 $512.86 Median $630.96 Typical High $630.96 | Professional | None | $512.86 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $2,691.53 | Professional | None | $251.19 | $251.19 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $851.14 | Professional | None | $467.74 | $741.31 | $851.14 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $645.65 | Professional | None | $338.84 | $389.05 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $309.03 | Professional | None | $275.42 | $281.84 | $309.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $141.25 | $154.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $56.23 | $61.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | 55 · Aftercare only | $41.69 | $42.66 | $46.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $28.18 | $30.90 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $707.95 Typical High $758.58 | Professional | None | $309.03 | $707.95 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $1,380.38 Typical High $2,344.23 | Facility | None | $302.00 | $1,380.38 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | None | $302.00 | $302.00 | $602.56 |
United Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $812.83 | Facility | None | $173.78 | $251.19 | $812.83 |
United Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $489.78 | Professional | None | $251.19 | $316.23 | $489.78 |
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 $575.44 Median $630.96 Typical High $630.96 | Professional | 50 · Both sides | $575.44 | $630.96 | $630.96 |
Where Pennsylvania sits
The same service costs 2.9 times more in Iowa 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· 33rd of 51
$316
IA $603KS $209
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.