How much rates vary
Facilitymedian $191 · 10th to 90th $126 to $1,622Professionalmedian $148 · 10th to 90th $126 to $288
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 $125.89 Median $125.89 Typical High $138.04 | Facility | None | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $147.91 | Professional | None | $125.89 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $21.88 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $14.79 |
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 $229.09 Median $229.09 Typical High $245.47 | Professional | None | $229.09 | $229.09 | $245.47 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 50 · Both sides | $275.42 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $1,659.59 | Professional | None | $138.04 | $138.04 | $1,659.59 |
Emblem Health Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $524.81 | Professional | None | $288.40 | $446.68 | $524.81 |
Geisinger Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Geisinger Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $309.03 | Professional | None | $162.18 | $186.21 | $309.03 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $147.91 | Professional | None | $125.89 | $138.04 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $69.18 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $27.54 | $29.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $21.88 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $436.52 | Professional | None | $120.23 | $120.23 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $1,000.00 Typical High $1,698.24 | Facility | None | $218.78 | $1,000.00 | $1,698.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
United Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $501.19 | Facility | None | $125.89 | $173.78 | $501.19 |
United Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | None | $125.89 | $151.36 | $251.19 |
Where Pennsylvania sits
The same service costs 2.7 times more in Hawaii 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· 50th of 51
$151
HI $372DE $138
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.