How much rates vary
Facilitymedian $107 · 10th to 90th $50 to $676Professionalmedian $65 · 10th to 90th $40 to $100
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 $40.74 Median $69.18 Typical High $117.49 | Facility | None | $40.74 | $69.18 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $77.62 | Professional | None | $38.90 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $19.50 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.47 Typical High $13.80 | Professional | 53 · Discontinued | $7.76 | $10.47 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $5.89 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $5.25 Typical High $6.92 | Professional | 56 · Pre-op care only | $3.89 | $5.25 | $6.92 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $131.83 | Professional | None | $67.61 | $128.82 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $104.71 | Professional | None | $41.69 | $63.10 | $104.71 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $151.36 | Professional | None | $60.26 | $95.50 | $151.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $323.59 Typical High $416.87 | Facility | None | $112.20 | $323.59 | $416.87 |
Martin's Point Setting Facility Modifier None Typical Low $40.74 Median $69.18 Typical High $131.83 | Facility | None | $40.74 | $69.18 | $131.83 |
Martin's Point Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $69.18 | Professional | None | $38.90 | $61.66 | $69.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $19.50 | $26.30 | $34.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.47 Typical High $13.80 | Professional | 53 · Discontinued | $7.76 | $10.47 | $13.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $5.89 | $7.94 | $10.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $5.25 Typical High $6.92 | Professional | 56 · Pre-op care only | $3.89 | $5.25 | $6.92 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | None | $79.43 | $79.43 | $134.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $144.54 Typical High $316.23 | Facility | None | $43.65 | $144.54 | $316.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $75.86 | Professional | None | $43.65 | $72.44 | $75.86 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $109.65 | Professional | None | $42.66 | $66.07 | $109.65 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 42nd of 51
$66.07
AK $191NJ $57.54
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.