How much rates vary
Facilitymedian $380 · 10th to 90th $339 to $1,122Professionalmedian $288 · 10th to 90th $170 to $407
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 $169.82 Median $169.82 Typical High $190.55 | Facility | None | $169.82 | $169.82 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $199.53 | Professional | None | $169.82 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.18 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.05 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.98 | $19.05 | $19.95 |
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 $295.12 Median $331.13 Typical High $331.13 | Professional | None | $295.12 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $1,737.80 | Professional | None | $281.84 | $281.84 | $1,737.80 |
Emblem Health Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $562.34 | Professional | None | $309.03 | $489.78 | $562.34 |
Geisinger Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Geisinger Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $338.84 | Professional | None | $204.17 | $234.42 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $199.53 | Professional | None | $169.82 | $190.55 | $199.53 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $93.33 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $38.02 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.18 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $28.18 | $30.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.05 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.98 | $19.05 | $19.95 |
Oscar Health Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $489.78 | Professional | None | $331.13 | $338.84 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $407.38 Typical High $407.38 | Facility | None | $371.54 | $407.38 | $407.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | None | $371.54 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Facility | None | $933.25 | $933.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $436.52 | Professional | None | $204.17 | $281.84 | $436.52 |
Where Pennsylvania sits
The same service costs 3.0 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· 31st of 51
$295
HI $661UT $224
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.