How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,413 to $7,943Professionalmedian $1,514 · 10th to 90th $1,318 to $2,951
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 $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $691.83 Typical High $724.44 | Professional | 52 · Reduced service | $645.65 | $691.83 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $275.42 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $208.93 Typical High $218.78 | Professional | 55 · Aftercare only | $194.98 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $138.04 Typical High $144.54 | Professional | 56 · Pre-op care only | $128.82 | $138.04 | $144.54 |
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 $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $15,848.93 | Professional | None | $1,513.56 | $1,513.56 | $15,848.93 |
Emblem Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $5,495.41 | Professional | None | $2,951.21 | $4,677.35 | $5,495.41 |
Geisinger Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Geisinger Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,584.89 | $1,819.70 | $3,019.95 |
Martin's Point Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Martin's Point Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,412.54 | $1,445.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $707.95 Typical High $724.44 | Professional | 52 · Reduced service | $645.65 | $707.95 | $724.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $281.84 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $281.84 | $288.40 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $208.93 Typical High $218.78 | Professional | 55 · Aftercare only | $194.98 | $208.93 | $218.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $141.25 Typical High $144.54 | Professional | 56 · Pre-op care only | $128.82 | $141.25 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $4,786.30 | Professional | None | $1,949.84 | $4,570.88 | $4,786.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,412.54 Median $6,456.54 Typical High $10,964.78 | Facility | None | $1,412.54 | $6,456.54 | $10,964.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,412.54 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,905.46 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,479.11 | $2,454.71 |
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 $2,691.53 Median $2,951.21 Typical High $2,951.21 | Professional | 50 · Both sides | $2,691.53 | $2,951.21 | $2,951.21 |
Where Pennsylvania sits
The same service costs 3.1 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
$1,514
HI $4,677PA $1,514
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.