How much rates vary
Facilitymedian $186 · 10th to 90th $178 to $1,349Professionalmedian $132 · 10th to 90th $110 to $251
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 $109.65 Median $109.65 Typical High $120.23 | Facility | None | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $162.18 | Professional | None | $109.65 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $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 $204.17 Median $204.17 Typical High $218.78 | Professional | None | $204.17 | $204.17 | $218.78 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 50 · Both sides | $239.88 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $1,479.11 | Professional | None | $128.82 | $128.82 | $1,479.11 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $457.09 | Professional | None | $251.19 | $398.11 | $457.09 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | None | $141.25 | $162.18 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $1,230.27 | Facility | None | $89.13 | $89.13 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $229.09 | Professional | None | $186.21 | $199.53 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $162.18 | Professional | None | $109.65 | $120.23 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $380.19 | Professional | None | $87.10 | $87.10 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $870.96 Typical High $1,479.11 | Facility | None | $186.21 | $870.96 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $251.19 | Professional | None | $186.21 | $186.21 | $251.19 |
United Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $436.52 | Facility | None | $177.83 | $186.21 | $436.52 |
United Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $223.87 | Professional | None | $109.65 | $131.83 | $223.87 |
Where Pennsylvania sits
The same service costs 3.5 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· 47th of 51
$132
HI $457DE $129
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.