How much rates vary
Facilitymedian $447 · 10th to 90th $389 to $1,413Professionalmedian $389 · 10th to 90th $389 to $447
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 $389.05 Median $489.78 Typical High $1,023.29 | Facility | None | $389.05 | $489.78 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None | $389.05 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Capital Blue Cross Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $501.19 | Facility | None | $371.54 | $416.87 | $501.19 |
Capital Blue Cross Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $1,479.11 | Facility | None | $389.05 | $645.65 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | None | $575.44 | $575.44 | $691.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,819.70 | Facility | None | $1,348.96 | $1,348.96 | $1,819.70 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $1,023.29 | Facility | None | $389.05 | $512.86 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None | $389.05 | $389.05 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $478.63 | Facility | None | $338.84 | $446.68 | $478.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None | $338.84 | $338.84 | $398.11 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $537.03 | Professional | None | $380.19 | $407.38 | $537.03 |
Where Pennsylvania sits
The same service costs 11.5 times more in Alabama than in Oklahoma. 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· 40th of 51
$389
AL $3,311OK $288
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.