How much rates vary
Facilitymedian $339 · 10th to 90th $295 to $2,512Professionalmedian $229 · 10th to 90th $195 to $457
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 $194.98 Median $194.98 Typical High $218.78 | Facility | None | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $229.09 | Professional | None | $194.98 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $38.90 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.50 | $21.88 | $22.91 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | None | $363.08 | $363.08 | $389.05 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 50 · Both sides | $426.58 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $2,691.53 | Professional | None | $218.78 | $218.78 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $831.76 | Professional | None | $457.09 | $724.44 | $831.76 |
Geisinger Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Geisinger Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $489.78 | Professional | None | $251.19 | $288.40 | $489.78 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $229.09 | Professional | None | $194.98 | $218.78 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $109.65 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $38.90 | $43.65 | $45.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $32.36 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.50 | $21.88 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $691.83 Typical High $741.31 | Professional | None | $302.00 | $691.83 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $1,548.82 Typical High $2,630.27 | Facility | None | $338.84 | $1,548.82 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $776.25 | Facility | None | $316.23 | $346.74 | $776.25 |
United Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $398.11 | Professional | None | $194.98 | $239.88 | $398.11 |
Where Pennsylvania sits
The same service costs 4.2 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· 48th of 51
$240
HI $912DE $219
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.