How much rates vary
Facilitymedian $661 · 10th to 90th $501 to $3,890Professionalmedian $490 · 10th to 90th $339 to $759
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 $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $371.54 | Professional | None | $331.13 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $56.23 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.88 | $37.15 |
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 $630.96 Median $758.58 Typical High $758.58 | Professional | None | $630.96 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $4,265.80 | Professional | None | $489.78 | $489.78 | $4,265.80 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,318.26 | Professional | None | $707.95 | $1,122.02 | $1,318.26 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $776.25 | Professional | None | $407.38 | $467.74 | $776.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $371.54 | Professional | None | $331.13 | $363.08 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $181.97 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $56.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,148.15 | Professional | None | $478.63 | $794.33 | $1,148.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $4,168.69 | Facility | None | $524.81 | $2,398.83 | $4,168.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,230.27 | Facility | None | $501.19 | $549.54 | $1,230.27 |
United Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $630.96 | Professional | None | $346.74 | $380.19 | $630.96 |
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 $691.83 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $691.83 | $758.58 | $758.58 |
Where Pennsylvania sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 31st of 51
$501
HI $1,380KS $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.