How much rates vary
Facilitymedian $135 · 10th to 90th $107 to $1,047Professionalmedian $91 · 10th to 90th $78 to $178
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 $77.62 Median $77.62 Typical High $85.11 | Facility | None | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $91.20 | Professional | None | $77.62 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.88 Typical High $13.49 | Professional | 55 · Aftercare only | $11.75 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.51 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.76 | $8.51 | $9.12 |
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 $144.54 Median $144.54 Typical High $154.88 | Professional | None | $144.54 | $144.54 | $154.88 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 50 · Both sides | $169.82 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $954.99 | Professional | None | $79.43 | $79.43 | $954.99 |
Emblem Health Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $323.59 | Professional | None | $177.83 | $275.42 | $323.59 |
Geisinger Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $190.55 | Professional | None | $97.72 | $125.89 | $190.55 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $91.20 | Professional | None | $77.62 | $85.11 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $42.66 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $16.98 | $18.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.88 Typical High $13.49 | Professional | 55 · Aftercare only | $11.75 | $12.88 | $13.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.51 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.76 | $8.51 | $9.12 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $288.40 | Professional | None | $190.55 | $269.15 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $616.60 Typical High $1,047.13 | Facility | None | $134.90 | $616.60 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | None | $134.90 | $134.90 | $177.83 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | None | $74.13 | $93.33 | $144.54 |
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· 45th of 51
$93.33
MT $204DE $79.43
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.