How much rates vary
Facilitymedian $65 · 10th to 90th $58 to $537Professionalmedian $49 · 10th to 90th $42 to $95
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 $41.69 Median $41.69 Typical High $45.71 | Facility | None | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | None | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $22.91 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.31 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.57 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.17 | $4.57 | $4.90 |
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 $77.62 Median $77.62 Typical High $83.18 | Professional | None | $77.62 | $77.62 | $83.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 50 · Both sides | $91.20 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $489.78 | Professional | None | $46.77 | $46.77 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $147.91 | Professional | None | $81.28 | $128.82 | $147.91 |
Geisinger Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $102.33 | Professional | None | $53.70 | $61.66 | $102.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $83.18 | Professional | None | $70.79 | $75.86 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | None | $41.69 | $45.71 | $48.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $22.91 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $22.91 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $9.12 | $9.77 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.31 | $6.92 | $7.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.57 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.17 | $4.57 | $4.90 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $131.83 | Professional | None | $53.70 | $91.20 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $331.13 Typical High $562.34 | Facility | None | $72.44 | $331.13 | $562.34 |
UPMC Health Plan Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | None | $72.44 | $72.44 | $95.50 |
United Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $141.25 | Facility | None | $57.54 | $60.26 | $141.25 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $81.28 | Professional | None | $39.81 | $50.12 | $81.28 |
Where Pennsylvania sits
The same service costs 3.5 times more in Hawaii than in New Jersey. 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
$50.12
HI $166NJ $46.77
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.