How much rates vary
Facilitymedian $398 · 10th to 90th $257 to $1,905Professionalmedian $269 · 10th to 90th $240 to $513
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 $239.88 Median $239.88 Typical High $257.04 | Facility | None | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $263.03 | Professional | None | $234.42 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $117.49 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $26.30 |
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 $407.38 Median $407.38 Typical High $436.52 | Professional | None | $407.38 | $407.38 | $436.52 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | 50 · Both sides | $489.78 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $2,951.21 | Professional | None | $288.40 | $288.40 | $2,951.21 |
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Geisinger Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $549.54 | Professional | None | $281.84 | $331.13 | $549.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $263.03 | Professional | None | $239.88 | $257.04 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $125.89 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $47.86 | $51.29 | $52.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $26.30 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $338.84 Median $776.25 Typical High $831.76 | Professional | None | $338.84 | $776.25 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $1,174.90 Typical High $1,995.26 | Facility | None | $257.04 | $1,174.90 | $1,995.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $512.86 | Professional | None | $257.04 | $257.04 | $512.86 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $870.96 | Facility | None | $281.84 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $446.68 | Professional | None | $245.47 | $269.15 | $446.68 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$288
HI $741DC $288
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.