How much rates vary
Facilitymedian $275 · 10th to 90th $234 to $501Professionalmedian $204 · 10th to 90th $120 to $295
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 $120.23 Median $120.23 Typical High $134.90 | Facility | None | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | None | $120.23 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.95 Typical High $21.38 | Professional | 55 · Aftercare only | $18.20 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $14.13 |
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 $208.93 Median $229.09 Typical High $229.09 | Professional | None | $208.93 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $1,202.26 | Professional | None | $204.17 | $204.17 | $1,202.26 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $398.11 | Professional | None | $218.78 | $338.84 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $234.42 | Professional | None | $141.25 | $165.96 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $141.25 | Professional | None | $120.23 | $134.90 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $66.07 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.95 Typical High $21.38 | Professional | 55 · Aftercare only | $18.20 | $19.95 | $21.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $14.13 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $371.54 | Professional | None | $234.42 | $239.88 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $295.12 | Facility | None | $263.03 | $295.12 | $295.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | None | $263.03 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Facility | None | $416.87 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $316.23 | Professional | None | $141.25 | $204.17 | $316.23 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 32nd of 51
$209
HI $417UT $162
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.