How much rates vary
Facilitymedian $263 · 10th to 90th $170 to $1,820Professionalmedian $204 · 10th to 90th $170 to $389
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 $169.82 Median $169.82 Typical High $186.21 | Facility | None | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $263.03 | Professional | None | $169.82 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | 55 · Aftercare only | $25.70 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.62 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.98 | $18.62 | $19.95 |
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 $316.23 Median $316.23 Typical High $338.84 | Professional | None | $316.23 | $316.23 | $338.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 50 · Both sides | $371.54 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $2,344.23 | Professional | None | $194.98 | $194.98 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $933.25 | Professional | None | $512.86 | $812.83 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Geisinger Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $416.87 | Professional | None | $218.78 | $251.19 | $416.87 |
Highmark BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $263.03 | Professional | None | $169.82 | $186.21 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $93.33 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $37.15 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | 55 · Aftercare only | $25.70 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.62 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.98 | $18.62 | $19.95 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $776.25 | Professional | None | $173.78 | $173.78 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $323.59 Typical High $2,041.74 | Facility | None | $138.04 | $323.59 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $676.08 | Facility | None | $213.80 | $275.42 | $676.08 |
United Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $338.84 | Professional | None | $169.82 | $204.17 | $338.84 |
Where Pennsylvania sits
The same service costs 4.7 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· 50th of 51
$204
HI $912DE $195
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.