How much rates vary
Facilitymedian $76 · 10th to 90th $69 to $562Professionalmedian $51 · 10th to 90th $44 to $100
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 $43.65 Median $47.86 Typical High $79.43 | Facility | None | $43.65 | $47.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $51.29 | Professional | None | $43.65 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $23.99 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $23.99 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.55 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.24 Typical High $7.59 | Professional | 55 · Aftercare only | $6.46 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.79 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.37 | $4.79 | $5.13 |
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 $81.28 Median $81.28 Typical High $87.10 | Professional | None | $81.28 | $81.28 | $87.10 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 50 · Both sides | $95.50 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $630.96 | Professional | None | $50.12 | $50.12 | $630.96 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $223.87 | Professional | None | $123.03 | $190.55 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Geisinger Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $107.15 | Professional | None | $56.23 | $64.57 | $107.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $51.29 | Professional | None | $43.65 | $47.86 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $23.99 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $23.99 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.55 | $10.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.24 Typical High $7.59 | Professional | 55 · Aftercare only | $6.46 | $7.24 | $7.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.79 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.37 | $4.79 | $5.13 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $194.98 | Professional | None | $81.28 | $134.90 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $346.74 Typical High $588.84 | Facility | None | $75.86 | $346.74 | $588.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $100.00 | Professional | None | $75.86 | $75.86 | $100.00 |
United Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $173.78 | Facility | None | $70.79 | $83.18 | $173.78 |
United Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $87.10 | Professional | None | $43.65 | $52.48 | $87.10 |
Where Pennsylvania sits
The same service costs 4.4 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
$52.48
HI $219FL $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.