How much rates vary
Facilitymedian $1,585 · 10th to 90th $871 to $5,012Professionalmedian $1,148 · 10th to 90th $813 to $1,820
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 $812.83 Median $812.83 Typical High $870.96 | Facility | None | $812.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $891.25 | Professional | None | $794.33 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $426.58 Typical High $446.68 | Professional | 52 · Reduced service | $398.11 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $158.49 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | 55 · Aftercare only | $120.23 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $79.43 | $87.10 | $89.13 |
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 $1,479.11 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,819.70 | $1,819.70 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $10,232.93 | Professional | None | $1,148.15 | $1,148.15 | $10,232.93 |
Emblem Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,698.24 | $2,691.53 | $3,162.28 |
Geisinger Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Geisinger Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,862.09 | Professional | None | $954.99 | $1,122.02 | $1,862.09 |
Martin's Point Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Martin's Point Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $891.25 | Professional | None | $812.83 | $870.96 | $891.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $426.58 Typical High $446.68 | Professional | 52 · Reduced service | $407.38 | $426.58 | $446.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $162.18 | $173.78 | $177.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $128.82 Typical High $134.90 | Professional | 55 · Aftercare only | $123.03 | $128.82 | $134.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $2,754.23 | Professional | None | $1,122.02 | $2,630.27 | $2,754.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $870.96 Median $3,981.07 Typical High $6,760.83 | Facility | None | $870.96 | $3,981.07 | $6,760.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,737.80 | Professional | None | $870.96 | $870.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,951.21 | Facility | None | $1,202.26 | $1,258.93 | $2,951.21 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,513.56 | Professional | None | $831.76 | $912.01 | $1,513.56 |
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 $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | 50 · Both sides | $1,659.59 | $1,819.70 | $1,819.70 |
Where Pennsylvania sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$1,148
HI $2,692DC $977
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.