How much rates vary
Facilitymedian $72 · 10th to 90th $58 to $562Professionalmedian $48 · 10th to 90th $42 to $95
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 $41.69 Median $41.69 Typical High $45.71 | Facility | None | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $47.86 | Professional | None | $41.69 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.17 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.57 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.17 | $4.57 | $4.79 |
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 $75.86 Median $75.86 Typical High $81.28 | Professional | None | $75.86 | $75.86 | $81.28 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | 50 · Both sides | $91.20 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $501.19 | Professional | None | $41.69 | $41.69 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $173.78 | Professional | None | $93.33 | $147.91 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Geisinger Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | None | $54.95 | $66.07 | $102.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | None | $70.79 | $70.79 | $75.86 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $47.86 | Professional | None | $41.69 | $45.71 | $47.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $22.91 | $23.99 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $9.12 | $9.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.17 | $6.92 | $7.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.57 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.17 | $4.57 | $4.79 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $151.36 | Professional | None | $102.33 | $144.54 | $151.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $323.59 Typical High $562.34 | Facility | None | $72.44 | $323.59 | $562.34 |
UPMC Health Plan Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | None | $72.44 | $72.44 | $95.50 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $75.86 | Professional | None | $38.90 | $50.12 | $75.86 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana 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· 46th of 51
$50.12
MT $110DE $41.69
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.