How much rates vary
Facilitymedian $468 · 10th to 90th $316 to $2,344Professionalmedian $339 · 10th to 90th $295 to $661
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 $295.12 Median $295.12 Typical High $309.03 | Facility | None | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $323.59 | Professional | None | $288.40 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $32.36 |
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 $537.03 Median $660.69 Typical High $660.69 | Professional | None | $537.03 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $3,467.37 | Professional | None | $338.84 | $338.84 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,174.90 | Professional | None | $645.65 | $1,000.00 | $1,174.90 |
Geisinger Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $660.69 | Professional | None | $346.74 | $398.11 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $323.59 | Professional | None | $288.40 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $144.54 | $154.88 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $57.54 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $46.77 Typical High $47.86 | Professional | 55 · Aftercare only | $42.66 | $46.77 | $47.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $32.36 |
Oscar Health Setting Professional Modifier None Typical Low $426.58 Median $977.24 Typical High $1,023.29 | Professional | None | $426.58 | $977.24 | $1,023.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $1,412.54 Typical High $2,454.71 | Facility | None | $316.23 | $1,412.54 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $616.60 | Professional | None | $316.23 | $316.23 | $616.60 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $1,023.29 | Facility | None | $380.19 | $416.87 | $1,023.29 |
United Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $549.54 | Professional | None | $295.12 | $331.13 | $549.54 |
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 $588.84 Median $660.69 Typical High $660.69 | Professional | 50 · Both sides | $588.84 | $660.69 | $660.69 |
Where Pennsylvania sits
The same service costs 2.9 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
$339
HI $977FL $339
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.