How much rates vary
Facilitymedian $468 · 10th to 90th $380 to $2,951Professionalmedian $288 · 10th to 90th $240 to $550
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 $239.88 Median $239.88 Typical High $263.03 | Facility | None | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $281.84 | Professional | None | $239.88 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 55 · Aftercare only | $36.31 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.99 | $26.30 | $28.18 |
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 $446.68 Median $467.74 Typical High $478.63 | Professional | None | $446.68 | $467.74 | $478.63 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | 50 · Both sides | $524.81 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $3,311.31 | Professional | None | $275.42 | $275.42 | $3,311.31 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,000.00 | Professional | None | $549.54 | $870.96 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Geisinger Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $588.84 | Professional | None | $309.03 | $354.81 | $588.84 |
Highmark BCBS Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | None | $407.38 | $436.52 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $281.84 | Professional | None | $239.88 | $263.03 | $281.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $131.83 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $52.48 | $56.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 55 · Aftercare only | $36.31 | $39.81 | $41.69 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.99 | $26.30 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $363.08 Median $851.14 Typical High $891.25 | Professional | None | $363.08 | $851.14 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,905.46 Typical High $3,235.94 | Facility | None | $416.87 | $1,905.46 | $3,235.94 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | None | $416.87 | $416.87 | $549.54 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $954.99 | Facility | None | $389.05 | $467.74 | $954.99 |
United Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $478.63 | Professional | None | $229.09 | $288.40 | $478.63 |
Where Pennsylvania sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$288
HI $1,023FL $275
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.