How much rates vary
Facilitymedian $1,230 · 10th to 90th $832 to $5,012Professionalmedian $891 · 10th to 90th $776 to $1,738
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 $776.25 Median $776.25 Typical High $812.83 | Facility | None | $776.25 | $776.25 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $851.14 | Professional | None | $776.25 | $812.83 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $407.38 Typical High $426.58 | Professional | 52 · Reduced service | $389.05 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | 53 · Discontinued | $154.88 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $85.11 |
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 $1,412.54 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,412.54 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $9,772.37 | Professional | None | $891.25 | $891.25 | $9,772.37 |
Emblem Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,090.30 | $3,630.78 |
Geisinger Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Geisinger Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,778.28 | Professional | None | $912.01 | $1,047.13 | $1,778.28 |
Martin's Point Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Martin's Point Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $851.14 | Professional | None | $776.25 | $812.83 | $851.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $407.38 Typical High $426.58 | Professional | 52 · Reduced service | $389.05 | $407.38 | $426.58 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | 53 · Discontinued | $154.88 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $125.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $3,162.28 | Professional | None | $1,318.26 | $2,187.76 | $3,162.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $6,456.54 | Facility | None | $831.76 | $3,715.35 | $6,456.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,659.59 | Professional | None | $831.76 | $831.76 | $1,659.59 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,818.38 | Facility | None | $977.24 | $1,148.15 | $2,818.38 |
United Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,445.44 | Professional | None | $776.25 | $870.96 | $1,445.44 |
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 $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | 50 · Both sides | $1,548.82 | $1,737.80 | $1,737.80 |
Where Pennsylvania sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 51st of 51
$891
HI $2,455PA $891
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.