How much rates vary
Facilitymedian $661 · 10th to 90th $631 to $1,148Professionalmedian $537 · 10th to 90th $347 to $933
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 $331.13 Median $331.13 Typical High $363.08 | Facility | None | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $616.60 | Professional | None | $331.13 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $48.98 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
AmeriHealth Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
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 $575.44 Median $645.65 Typical High $645.65 | Professional | None | $575.44 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $3,311.31 | Professional | None | $467.74 | $467.74 | $3,311.31 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,122.02 | Professional | None | $616.60 | $954.99 | $1,122.02 |
Geisinger Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $660.69 | Professional | None | $398.11 | $467.74 | $660.69 |
Highmark BCBS Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $741.31 | Professional | None | $537.03 | $616.60 | $741.31 |
Independence Blue Cross Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Martin's Point Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Martin's Point Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $616.60 | Professional | None | $331.13 | $363.08 | $616.60 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $181.97 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $72.44 | $77.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $48.98 | $54.95 | $57.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $676.08 | Professional | None | $416.87 | $416.87 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $933.25 | Facility | None | $724.44 | $933.25 | $933.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $933.25 | Professional | None | $724.44 | $933.25 | $933.25 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Facility | None | $954.99 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $831.76 | Professional | None | $389.05 | $524.81 | $831.76 |
Where Pennsylvania sits
The same service costs 2.2 times more in Kansas 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· 38th of 51
$550
KS $1,000UT $457
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.