How much rates vary
Facilitymedian $437 · 10th to 90th $437 to $1,000Professionalmedian $417 · 10th to 90th $275 to $676
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 $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $323.59 | Professional | None | $275.42 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 56 · Pre-op care only | $27.54 | $30.90 | $32.36 |
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 $537.03 Median $676.08 Typical High $676.08 | Professional | None | $537.03 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $3,388.44 | Professional | None | $316.23 | $316.23 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,148.15 | Professional | None | $630.96 | $1,000.00 | $1,148.15 |
Geisinger Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Geisinger Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $691.83 | Professional | None | $416.87 | $426.58 | $691.83 |
Martin's Point Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $323.59 | Professional | None | $275.42 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $154.88 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $41.69 | $45.71 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 56 · Pre-op care only | $27.54 | $30.90 | $32.36 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $691.83 Typical High $1,023.29 | Professional | None | $323.59 | $691.83 | $1,023.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $645.65 | Facility | None | $489.78 | $489.78 | $645.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $645.65 | Professional | None | $489.78 | $489.78 | $645.65 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Facility | None | $851.14 | $851.14 | $1,000.00 |
United Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $549.54 | Professional | None | $263.03 | $338.84 | $549.54 |
Where Pennsylvania sits
The same service costs 2.3 times more in Montana than in Delaware. 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· 24th of 51
$437
MT $741DE $316
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.