How much rates vary
Facilitymedian $355 · 10th to 90th $24 to $4,266Professionalmedian $257 · 10th to 90th $21 to $427
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.99 Median $354.81 Typical High $426.58 | Facility | None | $23.99 | $354.81 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $158.49 Typical High $426.58 | Professional | None | $21.38 | $158.49 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $79.43 Typical High $213.80 | Professional | 52 · Reduced service | $10.47 | $79.43 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $31.62 Typical High $85.11 | Professional | 53 · Discontinued | $4.17 | $31.62 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $23.99 Typical High $63.10 | Professional | 55 · Aftercare only | $3.16 | $23.99 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $15.85 Typical High $42.66 | Professional | 56 · Pre-op care only | $2.09 | $15.85 | $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 $83.18 Median $316.23 Typical High $331.13 | Professional | None | $83.18 | $316.23 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $245.47 Typical High $562.34 | Professional | None | $19.95 | $245.47 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Geisinger Setting Professional Modifier None Typical Low $42.66 Median $398.11 Typical High $588.84 | Professional | None | $42.66 | $398.11 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $331.13 Typical High $1,412.54 | Facility | None | $154.88 | $331.13 | $1,412.54 |
Martin's Point Setting Facility Modifier None Typical Low $23.99 Median $354.81 Typical High $457.09 | Facility | None | $23.99 | $354.81 | $457.09 |
Martin's Point Setting Professional Modifier None Typical Low $21.38 Median $169.82 Typical High $426.58 | Professional | None | $21.38 | $169.82 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $79.43 Typical High $213.80 | Professional | 52 · Reduced service | $10.72 | $79.43 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $31.62 Typical High $85.11 | Professional | 53 · Discontinued | $4.27 | $31.62 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $23.99 Typical High $63.10 | Professional | 55 · Aftercare only | $3.24 | $23.99 | $63.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $15.85 Typical High $42.66 | Professional | 56 · Pre-op care only | $2.14 | $15.85 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.38 Median $30.20 Typical High $346.74 | Facility | None | $21.38 | $30.20 | $346.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $21.38 Median $46.77 Typical High $346.74 | Professional | None | $21.38 | $46.77 | $346.74 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,202.26 Typical High $1,380.38 | Facility | None | $562.34 | $1,202.26 | $1,380.38 |
United Setting Professional Modifier None Typical Low $19.05 Median $186.21 Typical High $371.54 | Professional | None | $19.05 | $186.21 | $371.54 |
Where Pennsylvania sits
The same service costs 31.5 times more in Washington than in Washington, DC. 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.
Physician feeFacility fee
WA $1,470DC $46.72
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.