How much rates vary
Facilitymedian $617 · 10th to 90th $417 to $3,090Professionalmedian $447 · 10th to 90th $389 to $871
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 $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $426.58 | Professional | None | $380.19 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $42.66 |
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 $707.95 Median $870.96 Typical High $870.96 | Professional | None | $707.95 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $5,011.87 | Professional | None | $446.68 | $446.68 | $5,011.87 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,513.56 | Professional | None | $812.83 | $1,288.25 | $1,513.56 |
Geisinger Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Geisinger Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $891.25 | Professional | None | $467.74 | $537.03 | $891.25 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $426.58 | Professional | None | $389.05 | $416.87 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $208.93 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $83.18 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,318.26 | Professional | None | $537.03 | $912.01 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,905.46 Typical High $3,235.94 | Facility | None | $416.87 | $1,905.46 | $3,235.94 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $831.76 | Professional | None | $416.87 | $416.87 | $831.76 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,412.54 | Facility | None | $588.84 | $707.95 | $1,412.54 |
United Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $724.44 | Professional | None | $398.11 | $436.52 | $724.44 |
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 $794.33 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $794.33 | $870.96 | $870.96 |
Where Pennsylvania sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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· 48th of 51
$447
HI $1,660TN $447
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.