How much rates vary
Facilitymedian $1,202 · 10th to 90th $646 to $4,898Professionalmedian $724 · 10th to 90th $646 to $1,380
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 $645.65 Median $645.65 Typical High $676.08 | Facility | None | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $707.95 | Professional | None | $630.96 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $316.23 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,096.48 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | 50 · Both sides | $1,288.25 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $7,943.28 | Professional | None | $870.96 | $870.96 | $7,943.28 |
Emblem Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,348.96 | $2,137.96 | $2,454.71 |
Geisinger Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Geisinger Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,479.11 | Professional | None | $758.58 | $891.25 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | None | $1,000.00 | $1,000.00 | $1,071.52 |
Martin's Point Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Martin's Point Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | None | $630.96 | $676.08 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $338.84 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $128.82 | $134.90 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $107.15 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $107.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $64.57 | $67.61 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,187.76 | Professional | None | $891.25 | $1,513.56 | $2,187.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $5,370.32 | Facility | None | $691.83 | $3,162.28 | $5,370.32 |
UPMC Health Plan Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | None | $691.83 | $691.83 | $1,380.38 |
United Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $2,344.23 | Facility | None | $457.09 | $724.44 | $2,344.23 |
United Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,202.26 | Professional | None | $645.65 | $724.44 | $1,202.26 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana 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· 49th of 51
$776
MT $1,950FL $759
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.