How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $955Professionalmedian $126 · 10th to 90th $120 to $251
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 $120.23 Median $120.23 Typical High $125.89 | Facility | None | $120.23 | $120.23 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $131.83 | Professional | None | $117.49 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.75 | $12.59 | $13.18 |
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 $204.17 Median $204.17 Typical High $218.78 | Professional | None | $204.17 | $204.17 | $218.78 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 50 · Both sides | $239.88 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $1,445.44 | Professional | None | $120.23 | $120.23 | $1,445.44 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $501.19 | Professional | None | $275.42 | $426.58 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | None | $141.25 | $162.18 | $269.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $218.78 | Professional | None | $186.21 | $199.53 | $218.78 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $131.83 | Professional | None | $117.49 | $125.89 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $25.12 | $26.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $19.05 Typical High $19.50 | Professional | 55 · Aftercare only | $17.78 | $19.05 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $12.02 | $12.59 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $436.52 | Professional | None | $177.83 | $302.00 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $575.44 Typical High $1,000.00 | Facility | None | $125.89 | $575.44 | $1,000.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | None | $125.89 | $125.89 | $251.19 |
United Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $436.52 | Facility | None | $134.90 | $141.25 | $436.52 |
United Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $223.87 | Professional | None | $120.23 | $134.90 | $223.87 |
Where Pennsylvania sits
The same service costs 2.8 times more in Montana than in Delaware. 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
$132
MT $331DE $120
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.