How much rates vary
Facilitymedian $240 · 10th to 90th $209 to $759Professionalmedian $209 · 10th to 90th $200 to $251
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 $208.93 Median $288.40 Typical High $524.81 | Facility | None | $208.93 | $288.40 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $30.90 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $269.15 | Facility | None | $199.53 | $223.87 | $269.15 |
Capital Blue Cross Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $794.33 | Facility | None | $208.93 | $346.74 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Geisinger Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Geisinger Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None | $309.03 | $309.03 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $407.38 Typical High $891.25 | Facility | None | $194.98 | $407.38 | $891.25 |
Independence Blue Cross Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Facility | None | $194.98 | $194.98 | $213.80 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $524.81 | Facility | None | $208.93 | $288.40 | $524.81 |
Martin's Point Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None | $208.93 | $208.93 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $30.90 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $257.04 | Facility | None | $204.17 | $239.88 | $257.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $309.03 | Professional | None | $186.21 | $204.17 | $309.03 |
Where Pennsylvania sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 48th of 51
$209
AZ $324RI $200
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.