How much rates vary
Facilitymedian $68 · 10th to 90th $43 to $550Professionalmedian $50 · 10th to 90th $43 to $98
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 $42.66 Median $42.66 Typical High $46.77 | Facility | None | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | None | $42.66 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.68 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.27 | $4.68 | $4.90 |
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 $77.62 Median $81.28 Typical High $83.18 | Professional | None | $77.62 | $81.28 | $83.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 50 · Both sides | $93.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $512.86 | Professional | None | $50.12 | $50.12 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $173.78 | Professional | None | $95.50 | $151.36 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $104.71 | Professional | None | $53.70 | $63.10 | $104.71 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | None | $72.44 | $77.62 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | None | $42.66 | $46.77 | $48.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $23.44 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.77 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $7.08 | $7.41 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.68 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.27 | $4.68 | $4.90 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $147.91 Typical High $154.88 | Professional | None | $38.90 | $147.91 | $154.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $74.13 Median $331.13 Typical High $575.44 | Facility | None | $74.13 | $331.13 | $575.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
United Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $154.88 | Facility | None | $32.36 | $60.26 | $154.88 |
United Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $77.62 | Professional | None | $39.81 | $51.29 | $77.62 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana 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· 48th of 51
$51.29
MT $107FL $50.12
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.