How much rates vary
Facilitymedian $363 · 10th to 90th $204 to $1,660Professionalmedian $229 · 10th to 90th $204 to $437
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 $204.17 Median $204.17 Typical High $218.78 | Facility | None | $204.17 | $204.17 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | None | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $32.36 Typical High $33.88 | Professional | 55 · Aftercare only | $30.20 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.38 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $21.38 | $22.91 |
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 $354.81 Median $354.81 Typical High $380.19 | Professional | None | $354.81 | $354.81 | $380.19 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 50 · Both sides | $416.87 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $2,454.71 | Professional | None | $269.15 | $269.15 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $812.83 | Professional | None | $436.52 | $691.83 | $812.83 |
Geisinger Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $467.74 | Professional | None | $245.47 | $281.84 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $229.09 | Professional | None | $204.17 | $218.78 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $109.65 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $43.65 | $45.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.11 Typical High $33.88 | Professional | 55 · Aftercare only | $30.20 | $33.11 | $33.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $21.88 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $707.95 | Professional | None | $288.40 | $489.78 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $1,000.00 Typical High $1,737.80 | Facility | None | $218.78 | $1,000.00 | $1,737.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | None | $218.78 | $218.78 | $436.52 |
United Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $707.95 | Facility | None | $165.96 | $223.87 | $707.95 |
United Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $380.19 | Professional | None | $208.93 | $234.42 | $380.19 |
Where Pennsylvania sits
The same service costs 2.2 times more in Wisconsin than in Pennsylvania. 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· 51st of 51
$245
WI $550PA $245
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.