How much rates vary
Facilitymedian $417 · 10th to 90th $363 to $2,951Professionalmedian $309 · 10th to 90th $229 to $537
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 $229.09 Typical High $257.04 | Facility | None | $229.09 | $229.09 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $269.15 | Professional | None | $229.09 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $26.92 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | None | $426.58 | $426.58 | $457.09 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $562.34 Typical High $562.34 | Professional | 50 · Both sides | $501.19 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $3,090.30 | Professional | None | $309.03 | $309.03 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,047.13 | Professional | None | $575.44 | $912.01 | $1,047.13 |
Geisinger Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Geisinger Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $575.44 | Professional | None | $295.12 | $338.84 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $269.15 | Professional | None | $229.09 | $257.04 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $125.89 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $51.29 | $53.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $40.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $933.25 | Professional | None | $380.19 | $630.96 | $933.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $398.11 Median $1,819.70 Typical High $3,090.30 | Facility | None | $398.11 | $1,819.70 | $3,090.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None | $398.11 | $398.11 | $537.03 |
United Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $912.01 | Facility | None | $363.08 | $371.54 | $912.01 |
United Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $467.74 | Professional | None | $229.09 | $275.42 | $467.74 |
Where Pennsylvania sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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
$309
HI $871DC $302
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.