How much rates vary
Facilitymedian $407 · 10th to 90th $331 to $2,630Professionalmedian $282 · 10th to 90th $204 to $468
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 $204.17 Median $204.17 Typical High $223.87 | Facility | None | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $239.88 | Professional | None | $204.17 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 55 · Aftercare only | $30.20 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $22.39 | $23.99 |
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 $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | 50 · Both sides | $446.68 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $2,754.23 | Professional | None | $281.84 | $281.84 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $851.14 | Professional | None | $467.74 | $724.44 | $851.14 |
Geisinger Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Geisinger Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $501.19 | Professional | None | $263.03 | $302.00 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $239.88 | Professional | None | $204.17 | $223.87 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $112.20 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $44.67 | $47.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 55 · Aftercare only | $30.20 | $33.88 | $35.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $22.39 | $23.99 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $741.31 | Professional | None | $309.03 | $512.86 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $354.81 Median $1,621.81 Typical High $2,754.23 | Facility | None | $354.81 | $1,621.81 | $2,754.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | None | $354.81 | $354.81 | $467.74 |
United Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $812.83 | Facility | None | $331.13 | $426.58 | $812.83 |
United Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $407.38 | Professional | None | $204.17 | $245.47 | $407.38 |
Where Pennsylvania sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 48th of 51
$282
HI $891DC $263
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.