How much rates vary
Facilitymedian $263 · 10th to 90th $229 to $851Professionalmedian $229 · 10th to 90th $209 to $234
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 $229.09 Median $338.84 Typical High $588.84 | Facility | None | $229.09 | $338.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $5,011.87 | Facility | None | $218.78 | $245.47 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | None | $213.80 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $870.96 | Facility | None | $229.09 | $380.19 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Emblem Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $331.13 | Professional | None | $229.09 | $229.09 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Geisinger Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $398.11 | Professional | None | $186.21 | $239.88 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Facility | None | $229.09 | $229.09 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $588.84 | Facility | None | $229.09 | $426.58 | $588.84 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $112.20 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $416.87 | Professional | None | $30.20 | $30.20 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $275.42 | Facility | None | $190.55 | $263.03 | $275.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $218.78 | Professional | None | $190.55 | $194.98 | $218.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $245.47 | Professional | None | $204.17 | $234.42 | $245.47 |
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· 47th of 51
$229
AK $275NJ $229
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.