How much rates vary
Facilitymedian $78 · 10th to 90th $65 to $479Professionalmedian $65 · 10th to 90th $54 to $129
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 $54.95 Median $54.95 Typical High $61.66 | Facility | None | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | None | $54.95 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.96 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 55 · Aftercare only | $8.32 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.50 | $6.17 | $6.46 |
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 $102.33 Median $102.33 Typical High $109.65 | Professional | None | $102.33 | $102.33 | $109.65 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | 50 · Both sides | $120.23 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $645.65 | Professional | None | $53.70 | $53.70 | $645.65 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $251.19 | Professional | None | $138.04 | $213.80 | $251.19 |
Geisinger Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $138.04 | Professional | None | $70.79 | $83.18 | $138.04 |
Martin's Point Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | None | $54.95 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $30.90 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.96 | $12.30 | $12.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 55 · Aftercare only | $8.32 | $9.12 | $9.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.50 | $6.17 | $6.46 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $218.78 | Professional | None | $91.20 | $151.36 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $295.12 Typical High $501.19 | Facility | None | $64.57 | $295.12 | $501.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | None | $64.57 | $64.57 | $128.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $190.55 | Facility | None | $77.62 | $79.43 | $190.55 |
United Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $109.65 | Professional | None | $52.48 | $67.61 | $109.65 |
Where Pennsylvania sits
The same service costs 3.1 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· 47th of 51
$64.57
HI $170FL $54.95
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.