How much rates vary
Facilitymedian $457 · 10th to 90th $7 to $1,413Professionalmedian $100 · 10th to 90th $91 to $191
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 $91.20 Median $501.19 Typical High $1,412.54 | Facility | None | $91.20 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.80 Typical High $14.45 | Professional | 55 · Aftercare only | $13.49 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.55 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,071.52 Median $5,011.87 Typical High $56,234.13 | Facility | None | $1,071.52 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $194.98 | Professional | None | $93.33 | $158.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,412.54 | Facility | None | $380.19 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | None | $95.50 | $117.49 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $223.87 | Professional | None | $125.89 | $165.96 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $213.80 | Professional | None | $100.00 | $128.82 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $630.96 | Facility | None | $229.09 | $229.09 | $630.96 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $489.78 Typical High $1,479.11 | Facility | None | $91.20 | $489.78 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.49 | $13.80 | $13.80 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Oscar Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $251.19 | Professional | None | $60.26 | $60.26 | $251.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.50 Median $10.47 Typical High $141.25 | Facility | None | $5.50 | $10.47 | $141.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $42.66 Median $97.72 Typical High $141.25 | Professional | None | $42.66 | $97.72 | $141.25 |
United Setting Facility Modifier None Typical Low $457.09 Median $977.24 Typical High $1,122.02 | Facility | None | $457.09 | $977.24 | $1,122.02 |
United Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $154.88 | Professional | None | $89.13 | $100.00 | $154.88 |
Where Pennsylvania sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 47th of 51
$100
AK $275FL $91.20
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.