How much rates vary
Facilitymedian $234 · 10th to 90th $214 to $1,820Professionalmedian $158 · 10th to 90th $112 to $245
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 $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | None | $112.20 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.62 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.30 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.22 | $12.30 | $12.88 |
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 $181.97 Median $194.98 Typical High $199.53 | Professional | None | $181.97 | $194.98 | $199.53 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | 50 · Both sides | $199.53 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $1,148.15 | Professional | None | $158.49 | $158.49 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $380.19 | Professional | None | $208.93 | $331.13 | $380.19 |
Geisinger Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Geisinger Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | None | $138.04 | $158.49 | $229.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | None | $112.20 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $24.55 | $26.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.62 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $18.62 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.30 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.22 | $12.30 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $512.86 | Professional | None | $134.90 | $134.90 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $1,122.02 Typical High $1,905.46 | Facility | None | $245.47 | $1,122.02 | $1,905.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $489.78 | Facility | None | $213.80 | $234.42 | $489.78 |
United Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $281.84 | Professional | None | $123.03 | $169.82 | $281.84 |
Where Pennsylvania sits
The same service costs 2.9 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· 43rd of 51
$166
HI $437UT $151
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.