How much rates vary
Facilitymedian $234 · 10th to 90th $209 to $2,042Professionalmedian $186 · 10th to 90th $151 to $355
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 $151.36 Median $151.36 Typical High $169.82 | Facility | None | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | None | $151.36 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.98 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.14 | $16.98 | $17.78 |
AmeriHealth Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $275.42 | Professional | None | $173.78 | $218.78 | $275.42 |
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 $281.84 Median $281.84 Typical High $302.00 | Professional | None | $281.84 | $281.84 | $302.00 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $371.54 Typical High $371.54 | Professional | 50 · Both sides | $331.13 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $1,862.09 | Professional | None | $154.88 | $154.88 | $1,862.09 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $630.96 | Professional | None | $346.74 | $549.54 | $630.96 |
Geisinger Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Geisinger Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $380.19 | Professional | None | $204.17 | $245.47 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $323.59 | Professional | None | $257.04 | $302.00 | $323.59 |
Independence Blue Cross Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $251.19 | Professional | None | $173.78 | $218.78 | $251.19 |
Martin's Point Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | None | $151.36 | $169.82 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $83.18 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | 53 · Discontinued | $30.20 | $33.88 | $35.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $26.92 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.98 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.14 | $16.98 | $17.78 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $524.81 | Professional | None | $199.53 | $199.53 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $234.42 Median $1,202.26 Typical High $2,041.74 | Facility | None | $234.42 | $1,202.26 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None | $234.42 | $234.42 | $354.81 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $549.54 | Facility | None | $457.09 | $457.09 | $549.54 |
United Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $295.12 | Professional | None | $144.54 | $186.21 | $295.12 |
Where Pennsylvania sits
The same service costs 2.4 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· 47th of 51
$186
HI $380DE $158
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.