How much rates vary
Facilitymedian $195 · 10th to 90th $191 to $1,585Professionalmedian $148 · 10th to 90th $120 to $282
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 $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $67.61 | $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 $223.87 Median $234.42 Typical High $263.03 | Professional | None | $223.87 | $234.42 | $263.03 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $295.12 Typical High $295.12 | Professional | 50 · Both sides | $263.03 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $1,621.81 | Professional | None | $138.04 | $138.04 | $1,621.81 |
Emblem Health Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $676.08 | Professional | None | $371.54 | $575.44 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $302.00 | Professional | None | $154.88 | $181.97 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $1,348.96 | Facility | None | $147.91 | $147.91 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $239.88 | Professional | None | $204.17 | $229.09 | $239.88 |
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 $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $67.61 | $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 $245.47 Median $245.47 Typical High $562.34 | Professional | None | $245.47 | $245.47 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $954.99 Typical High $1,659.59 | Facility | None | $208.93 | $954.99 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None | $208.93 | $208.93 | $281.84 |
United Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $478.63 | Facility | None | $190.55 | $194.98 | $478.63 |
United Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $245.47 | Professional | None | $123.03 | $147.91 | $245.47 |
Where Pennsylvania sits
The same service costs 3.5 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· 49th of 51
$148
HI $479FL $138
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.