How much rates vary
Facilitymedian $145 · 10th to 90th $105 to $776Professionalmedian $110 · 10th to 90th $98 to $219
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 $97.72 Median $97.72 Typical High $102.33 | Facility | None | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $107.15 | Professional | None | $95.50 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.14 Typical High $15.85 | Professional | 55 · Aftercare only | $14.45 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.23 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.55 | $10.23 | $10.72 |
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 $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,230.27 | Professional | None | $102.33 | $102.33 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $371.54 | Professional | None | $204.17 | $323.59 | $371.54 |
Geisinger Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $223.87 | Professional | None | $114.82 | $131.83 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $107.15 | Professional | None | $97.72 | $102.33 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $51.29 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $19.50 | $20.42 | $21.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.49 Typical High $15.85 | Professional | 55 · Aftercare only | $14.45 | $15.49 | $15.85 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.23 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.77 | $10.23 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $331.13 | Professional | None | $134.90 | $309.03 | $331.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $478.63 Typical High $812.83 | Facility | None | $104.71 | $478.63 | $812.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | None | $104.71 | $104.71 | $208.93 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $354.81 | Facility | None | $144.54 | $158.49 | $354.81 |
United Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $181.97 | Professional | None | $97.72 | $109.65 | $181.97 |
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 $194.98 Median $218.78 Typical High $218.78 | Professional | 50 · Both sides | $194.98 | $218.78 | $218.78 |
Where Pennsylvania sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$110
HI $380FL $102
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.