How much rates vary
Facilitymedian $380 · 10th to 90th $282 to $2,089Professionalmedian $288 · 10th to 90th $263 to $562
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 $263.03 Median $263.03 Typical High $275.42 | Facility | None | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $288.40 | Professional | None | $263.03 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $42.66 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $27.54 Typical High $28.84 | Professional | 56 · Pre-op care only | $26.30 | $27.54 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
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 $446.68 Median $478.63 Typical High $524.81 | Professional | None | $446.68 | $478.63 | $524.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $588.84 Typical High $588.84 | Professional | 50 · Both sides | $524.81 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $3,311.31 | Professional | None | $275.42 | $275.42 | $3,311.31 |
Emblem Health Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,348.96 | Professional | None | $741.31 | $1,148.15 | $1,348.96 |
Geisinger Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Geisinger Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $602.56 | Professional | None | $309.03 | $354.81 | $602.56 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $288.40 | Professional | None | $263.03 | $275.42 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $138.04 | $144.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $54.95 | $57.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $42.66 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $42.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $27.54 Typical High $28.84 | Professional | 56 · Pre-op care only | $26.30 | $27.54 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,174.90 | Professional | None | $478.63 | $812.83 | $1,174.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $1,288.25 Typical High $2,187.76 | Facility | None | $281.84 | $1,288.25 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $562.34 | Professional | None | $281.84 | $281.84 | $562.34 |
United Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $954.99 | Facility | None | $346.74 | $389.05 | $954.99 |
United Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $489.78 | Professional | None | $263.03 | $295.12 | $489.78 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii 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· 49th of 51
$288
HI $871DE $275
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.