How much rates vary
Facilitymedian $269 · 10th to 90th $234 to $1,995Professionalmedian $229 · 10th to 90th $155 to $380
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 $154.88 Median $154.88 Typical High $173.78 | Facility | None | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $181.97 | Professional | None | $154.88 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $18.20 |
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 $302.00 Median $380.19 Typical High $380.19 | Professional | None | $302.00 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $2,187.76 | Professional | None | $173.78 | $173.78 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $870.96 | Professional | None | $478.63 | $741.31 | $870.96 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $389.05 | Professional | None | $199.53 | $229.09 | $389.05 |
Highmark BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Martin's Point Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $181.97 | Professional | None | $154.88 | $173.78 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $87.10 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $34.67 | $36.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $25.70 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $724.44 Typical High $758.58 | Professional | None | $309.03 | $724.44 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $1,230.27 Typical High $2,089.30 | Facility | None | $269.15 | $1,230.27 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $616.60 | Facility | None | $251.19 | $380.19 | $616.60 |
United Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $316.23 | Professional | None | $154.88 | $190.55 | $316.23 |
Where Pennsylvania sits
The same service costs 5.5 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· 27th of 51
$234
HI $955FL $174
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.