How much rates vary
Facilitymedian $398 · 10th to 90th $282 to $2,089Professionalmedian $295 · 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 $281.84 | Facility | None | $263.03 | $263.03 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $288.40 | Professional | None | $257.04 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $128.82 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $51.29 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $43.65 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $28.84 |
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 $446.68 Typical High $478.63 | Professional | None | $446.68 | $446.68 | $478.63 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 50 · Both sides | $537.03 | $588.84 | $588.84 |
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 $295.12 Median $295.12 Typical High $3,311.31 | Professional | None | $295.12 | $295.12 | $3,311.31 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,023.29 | Professional | None | $549.54 | $870.96 | $1,023.29 |
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 $316.23 Median $363.08 Typical High $602.56 | Professional | None | $316.23 | $363.08 | $602.56 |
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 $281.84 Typical High $288.40 | Professional | None | $263.03 | $281.84 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $141.25 | $144.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $56.23 | $57.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $41.69 Typical High $43.65 | Professional | 55 · Aftercare only | $39.81 | $41.69 | $43.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.18 Typical High $28.84 | Professional | 56 · Pre-op care only | $26.30 | $28.18 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $891.25 | Professional | None | $363.08 | $616.60 | $891.25 |
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 $398.11 Median $398.11 Typical High $954.99 | Facility | None | $398.11 | $398.11 | $954.99 |
United Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $489.78 | Professional | None | $269.15 | $295.12 | $489.78 |
Where Pennsylvania sits
The same service costs 3.7 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· 48th of 51
$295
HI $1,096DE $295
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.