How much rates vary
Facilitymedian $490 · 10th to 90th $324 to $2,692Professionalmedian $363 · 10th to 90th $339 to $724
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 $338.84 Median $363.08 Typical High $562.34 | Facility | None | $338.84 | $363.08 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $371.54 | Professional | None | $331.13 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $56.23 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.88 | $37.15 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | None | $575.44 | $575.44 | $616.60 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $691.83 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $3,467.37 | Professional | None | $354.81 | $354.81 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,122.02 | Professional | None | $616.60 | $977.24 | $1,122.02 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $776.25 | Professional | None | $398.11 | $467.74 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $371.54 | Professional | None | $331.13 | $363.08 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $177.83 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $56.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,000.00 | Professional | None | $660.69 | $933.25 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $1,659.59 Typical High $2,818.38 | Facility | None | $363.08 | $1,659.59 | $2,818.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $724.44 | Professional | None | $363.08 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $1,071.52 | Facility | None | $165.96 | $323.59 | $1,071.52 |
United Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $602.56 | Professional | None | $323.59 | $380.19 | $602.56 |
Where Pennsylvania sits
The same service costs 2.4 times more in Iowa than in Kansas. 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· 44th of 51
$363
IA $776KS $324
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.