How much rates vary
Facilitymedian $102 · 10th to 90th $76 to $724Professionalmedian $76 · 10th to 90th $56 to $129
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 $56.23 Median $56.23 Typical High $61.66 | Facility | None | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | None | $56.23 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $11.22 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.33 Typical High $9.77 | Professional | 55 · Aftercare only | $8.32 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.17 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.62 | $6.17 | $6.46 |
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 $102.33 Median $102.33 Typical High $109.65 | Professional | None | $102.33 | $102.33 | $109.65 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | 50 · Both sides | $123.03 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $741.31 | Professional | None | $75.86 | $75.86 | $741.31 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $223.87 | Professional | None | $123.03 | $194.98 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $138.04 | Professional | None | $70.79 | $83.18 | $138.04 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | None | $56.23 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $30.90 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $11.22 | $12.30 | $12.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.33 Typical High $9.77 | Professional | 55 · Aftercare only | $8.32 | $9.33 | $9.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.17 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.62 | $6.17 | $6.46 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $190.55 Typical High $199.53 | Professional | None | $81.28 | $190.55 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $436.52 Typical High $758.58 | Facility | None | $97.72 | $436.52 | $758.58 |
UPMC Health Plan Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None | $97.72 | $97.72 | $128.82 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $213.80 | Facility | None | $75.86 | $87.10 | $213.80 |
United Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | None | $54.95 | $67.61 | $112.20 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Florida. 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· 49th of 51
$75.86
HI $219FL $69.18
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.