How much rates vary
Facilitymedian $372 · 10th to 90th $263 to $1,000Professionalmedian $263 · 10th to 90th $257 to $295
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 $263.03 Median $331.13 Typical High $446.68 | Facility | None | $263.03 | $331.13 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Capital Blue Cross Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $354.81 | Facility | None | $263.03 | $295.12 | $354.81 |
Capital Blue Cross Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | None | $269.15 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $1,023.29 | Facility | None | $269.15 | $446.68 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | None | $218.78 | $257.04 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $831.76 | Facility | None | $190.55 | $316.23 | $831.76 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $446.68 | Facility | None | $263.03 | $389.05 | $446.68 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $288.40 | Professional | None | $229.09 | $257.04 | $288.40 |
Where Pennsylvania sits
The same service costs 1.7 times more in Alaska than in Indiana. 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· 19th of 51
$263
AK $417IN $245
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.