How much rates vary
Facilitymedian $355 · 10th to 90th $316 to $3,090Professionalmedian $269 · 10th to 90th $229 to $525
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 $229.09 Median $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $323.59 | Professional | None | $229.09 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $26.30 |
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 $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | 50 · Both sides | $501.19 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,754.23 | Professional | None | $229.09 | $229.09 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $954.99 | Professional | None | $512.86 | $812.83 | $954.99 |
Geisinger Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Geisinger Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $562.34 | Professional | None | $281.84 | $338.84 | $562.34 |
Highmark BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $309.03 | Professional | None | $229.09 | $251.19 | $309.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $125.89 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $50.12 | $53.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $794.33 | Professional | None | $186.21 | $186.21 | $794.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $354.81 Median $1,778.28 Typical High $3,090.30 | Facility | None | $354.81 | $1,778.28 | $3,090.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $524.81 | Professional | None | $354.81 | $354.81 | $524.81 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Facility | None | $691.83 | $691.83 | $831.76 |
United Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $416.87 | Professional | None | $213.80 | $275.42 | $416.87 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana 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· 44th of 51
$275
MT $589DE $229
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.