How much rates vary
Facilitymedian $1,096 · 10th to 90th $891 to $6,761Professionalmedian $912 · 10th to 90th $646 to $1,549
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 $691.83 Median $691.83 Typical High $741.31 | Facility | None | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $758.58 | Professional | None | $676.08 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $354.81 Typical High $380.19 | Professional | 52 · Reduced service | $338.84 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $134.90 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $67.61 | $70.79 | $75.86 |
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 $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,762.47 | Professional | None | $645.65 | $645.65 | $7,762.47 |
Emblem Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,290.87 | $2,630.27 |
Geisinger 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 |
Geisinger Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,584.89 | Professional | None | $831.76 | $954.99 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Martin's Point Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $758.58 | Professional | None | $676.08 | $707.95 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $338.84 | $363.08 | $380.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $151.36 | Professional | 53 · Discontinued | $138.04 | $147.91 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $114.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $74.13 Typical High $75.86 | Professional | 56 · Pre-op care only | $67.61 | $74.13 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $2,344.23 | Professional | None | $1,412.54 | $2,187.76 | $2,344.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,096.48 Median $5,011.87 Typical High $8,709.64 | Facility | None | $1,096.48 | $5,011.87 | $8,709.64 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,096.48 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,949.84 | $1,949.84 | $2,290.87 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,202.26 | Professional | None | $691.83 | $776.25 | $1,202.26 |
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 $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | 50 · Both sides | $1,412.54 | $1,548.82 | $1,548.82 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana 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· 28th of 51
$955
MT $1,660DE $646
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.