How much rates vary
Facilitymedian $39 · 10th to 90th $35 to $309Professionalmedian $28 · 10th to 90th $24 to $55
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 $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | None | $23.99 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.98 Typical High $4.17 | Professional | 55 · Aftercare only | $3.63 | $3.98 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.63 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.40 | $2.63 | $2.82 |
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 $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 50 · Both sides | $52.48 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $323.59 | Professional | None | $28.18 | $28.18 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $131.83 | Professional | None | $72.44 | $114.82 | $131.83 |
Geisinger Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Geisinger Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $58.88 | Professional | None | $30.90 | $35.48 | $58.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | None | $40.74 | $43.65 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Martin's Point Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | None | $23.99 | $26.30 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $13.18 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.98 Typical High $4.17 | Professional | 55 · Aftercare only | $3.63 | $3.98 | $4.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.63 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.40 | $2.63 | $2.82 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $112.20 Typical High $117.49 | Professional | None | $47.86 | $112.20 | $117.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $190.55 Typical High $323.59 | Facility | None | $41.69 | $190.55 | $323.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | None | $41.69 | $41.69 | $54.95 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $95.50 | Facility | None | $35.48 | $38.02 | $95.50 |
United Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $48.98 | Professional | None | $23.99 | $28.84 | $48.98 |
Where Pennsylvania sits
The same service costs 3.0 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· 50th of 51
$28.84
HI $83.18DE $28.18
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.