How much rates vary
Facilitymedian $275 · 10th to 90th $229 to $1,820Professionalmedian $245 · 10th to 90th $200 to $490
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 $229.09 Median $229.09 Typical High $239.88 | Facility | None | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | None | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $25.12 |
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 $389.05 Median $389.05 Typical High $416.87 | Professional | None | $389.05 | $389.05 | $416.87 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | 50 · Both sides | $457.09 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $2,454.71 | Professional | None | $199.53 | $199.53 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,000.00 | Professional | None | $549.54 | $851.14 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Geisinger Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $524.81 | Professional | None | $269.15 | $309.03 | $524.81 |
Highmark BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $251.19 | Professional | None | $229.09 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $117.49 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $45.71 | $46.77 | $50.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $35.48 Typical High $37.15 | Professional | 55 · Aftercare only | $33.88 | $35.48 | $37.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.44 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.91 | $23.44 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $870.96 | Professional | None | $524.81 | $831.76 | $870.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $1,096.48 Typical High $1,905.46 | Facility | None | $245.47 | $1,096.48 | $1,905.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $489.78 | Professional | None | $245.47 | $245.47 | $489.78 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $707.95 | Facility | None | $190.55 | $229.09 | $707.95 |
United Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $426.58 | Professional | None | $218.78 | $257.04 | $426.58 |
Where Pennsylvania sits
The same service costs 2.5 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
$245
HI $501FL $204
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.