How much rates vary
Facilitymedian $891 · 10th to 90th $676 to $5,012Professionalmedian $631 · 10th to 90th $437 to $1,047
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 $436.52 Median $436.52 Typical High $478.63 | Facility | None | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $501.19 | Professional | None | $436.52 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $47.86 Typical High $50.12 | Professional | 56 · Pre-op care only | $43.65 | $47.86 | $50.12 |
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 $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | None | $831.76 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Facility | None | $724.44 | $724.44 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $5,248.07 | Professional | None | $537.03 | $537.03 | $5,248.07 |
Emblem Health Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $1,778.28 | Professional | None | $977.24 | $1,548.82 | $1,778.28 |
Geisinger Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Geisinger Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,071.52 | Professional | None | $602.56 | $645.65 | $1,071.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Highmark BCBS Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | None | $831.76 | $851.14 | $851.14 |
Martin's Point Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Martin's Point Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $501.19 | Professional | None | $436.52 | $478.63 | $501.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $72.44 | $75.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $47.86 Typical High $50.12 | Professional | 56 · Pre-op care only | $43.65 | $47.86 | $50.12 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $1,513.56 Typical High $1,584.89 | Professional | None | $446.68 | $1,513.56 | $1,584.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $3,388.44 Typical High $5,888.44 | Facility | None | $676.08 | $3,388.44 | $5,888.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,000.00 | Professional | None | $676.08 | $676.08 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Facility | None | $1,318.26 | $1,318.26 | $1,584.89 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $794.33 | Professional | None | $407.38 | $524.81 | $794.33 |
Where Pennsylvania sits
The same service costs 2.0 times more in Montana than in West Virginia. 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· 28th of 51
$646
MT $1,096WV $537
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.