How much rates vary
Facilitymedian $229 · 10th to 90th $204 to $741Professionalmedian $209 · 10th to 90th $191 to $214
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 $204.17 Median $309.03 Typical High $537.03 | Facility | None | $204.17 | $309.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $263.03 | Facility | None | $199.53 | $223.87 | $263.03 |
Capital Blue Cross Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | None | $190.55 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $794.33 | Facility | None | $204.17 | $346.74 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $295.12 | Professional | None | $194.98 | $194.98 | $295.12 |
Geisinger Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $371.54 | Professional | None | $181.97 | $213.80 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $363.08 | Facility | None | $147.91 | $147.91 | $363.08 |
Independence Blue Cross Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Facility | None | $208.93 | $208.93 | $239.88 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $537.03 | Facility | None | $204.17 | $407.38 | $537.03 |
Martin's Point Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None | $204.17 | $204.17 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $40.74 | $41.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $407.38 | Professional | None | $30.20 | $30.20 | $407.38 |
United Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $223.87 | Professional | None | $186.21 | $213.80 | $223.87 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 20th of 51
$209
AK $251NJ $204
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.