How much rates vary
Facilitymedian $631 · 10th to 90th $550 to $4,467Professionalmedian $427 · 10th to 90th $363 to $832
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 $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $416.87 | Professional | None | $363.08 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $41.69 |
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 $660.69 Median $660.69 Typical High $707.95 | Professional | None | $660.69 | $660.69 | $707.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $794.33 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $4,897.79 | Professional | None | $416.87 | $416.87 | $4,897.79 |
Emblem Health Setting Professional Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,698.24 | Professional | None | $933.25 | $1,479.11 | $1,698.24 |
Geisinger Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Geisinger Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $891.25 | Professional | None | $457.09 | $537.03 | $891.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $416.87 | Professional | None | $363.08 | $398.11 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $199.53 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $79.43 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $63.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $41.69 |
Oscar Health Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $1,513.56 | Professional | None | $616.60 | $1,412.54 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $4,897.79 | Facility | None | $630.96 | $2,818.38 | $4,897.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,412.54 | Facility | None | $549.54 | $660.69 | $1,412.54 |
United Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $724.44 | Professional | None | $363.08 | $436.52 | $724.44 |
Where Pennsylvania sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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
$437
HI $1,230KS $339
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.