How much rates vary
Facilitymedian $263 · 10th to 90th $219 to $2,570Professionalmedian $245 · 10th to 90th $182 to $468
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 $218.78 Median $218.78 Typical High $234.42 | Facility | None | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | None | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | None | $380.19 | $380.19 | $426.58 |
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 $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | 50 · Both sides | $446.68 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $2,089.30 | Professional | None | $181.97 | $181.97 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $870.96 | Professional | None | $478.63 | $758.58 | $870.96 |
Geisinger Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Geisinger Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $501.19 | Professional | None | $263.03 | $302.00 | $501.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $407.38 | Professional | None | $371.54 | $398.11 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | None | $218.78 | $218.78 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $109.65 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $43.65 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $23.99 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $724.44 Typical High $776.25 | Professional | None | $316.23 | $724.44 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $1,548.82 Typical High $2,691.53 | Facility | None | $338.84 | $1,548.82 | $2,691.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None | $338.84 | $338.84 | $467.74 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $616.60 | Facility | None | $190.55 | $245.47 | $616.60 |
United Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $389.05 | Professional | None | $194.98 | $245.47 | $389.05 |
Where Pennsylvania sits
The same service costs 2.5 times more in Kansas 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· 39th of 51
$245
KS $457FL $186
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.