How much rates vary
Facilitymedian $229 · 10th to 90th $186 to $1,479Professionalmedian $200 · 10th to 90th $166 to $398
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 $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | None | $181.97 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $20.42 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $20.42 |
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 $316.23 Median $316.23 Typical High $338.84 | Professional | None | $316.23 | $316.23 | $338.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | 50 · Both sides | $371.54 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,995.26 | Professional | None | $165.96 | $165.96 | $1,995.26 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $794.33 | Professional | None | $436.52 | $691.83 | $794.33 |
Geisinger Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Geisinger Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $426.58 | Professional | None | $218.78 | $257.04 | $426.58 |
Highmark BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | None | $181.97 | $186.21 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $93.33 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $37.15 | $40.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $30.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $20.42 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $20.42 |
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 $199.53 Median $912.01 Typical High $1,548.82 | Facility | None | $199.53 | $912.01 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | None | $199.53 | $199.53 | $398.11 |
United Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $602.56 | Facility | None | $151.36 | $190.55 | $602.56 |
United Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $346.74 | Professional | None | $181.97 | $208.93 | $346.74 |
Where Pennsylvania sits
The same service costs 2.7 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
$200
MT $457DE $170
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.