How much rates vary
Facilitymedian $123 · 10th to 90th $120 to $2,455Professionalmedian $126 · 10th to 90th $112 to $234
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 $117.49 Median $128.82 Typical High $1,862.09 | Facility | None | $117.49 | $128.82 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $144.54 | Professional | None | $117.49 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $58.88 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
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 $123.03 Median $194.98 Typical High $245.47 | Professional | None | $123.03 | $194.98 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $239.88 | Professional | None | $107.15 | $114.82 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | None | $123.03 | $158.49 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $257.04 | Facility | None | $169.82 | $204.17 | $257.04 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $213.80 | Professional | None | $109.65 | $125.89 | $213.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | None | $128.82 | $128.82 | $147.91 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $1,862.09 | Facility | None | $128.82 | $128.82 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $144.54 | Professional | None | $117.49 | $123.03 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $58.88 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $234.42 | Professional | None | $162.18 | $169.82 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $1,659.59 | Facility | None | $120.23 | $120.23 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | None | $120.23 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | None | $97.72 | $114.82 | $190.55 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 41st of 51
$126
AK $316UT $97.72
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.