How much rates vary
Facilitymedian $288 · 10th to 90th $204 to $1,549Professionalmedian $204 · 10th to 90th $195 to $407
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 $194.98 Median $194.98 Typical High $204.17 | Facility | None | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | None | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $30.20 Typical High $31.62 | Professional | 55 · Aftercare only | $28.18 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.95 Typical High $21.38 | Professional | 56 · Pre-op care only | $19.05 | $19.95 | $21.38 |
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 $331.13 Median $331.13 Typical High $354.81 | Professional | None | $331.13 | $331.13 | $354.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $436.52 Typical High $436.52 | Professional | 50 · Both sides | $389.05 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $2,454.71 | Professional | None | $204.17 | $204.17 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $776.25 | Professional | None | $426.58 | $676.08 | $776.25 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Geisinger Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $436.52 | Professional | None | $229.09 | $263.03 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | None | $194.98 | $204.17 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $102.33 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $38.90 | $40.74 | $42.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $30.90 Typical High $31.62 | Professional | 55 · Aftercare only | $28.84 | $30.90 | $31.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $19.50 | $20.42 | $21.38 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $691.83 | Professional | None | $281.84 | $467.74 | $691.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $933.25 Typical High $1,621.81 | Facility | None | $204.17 | $933.25 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $407.38 | Professional | None | $204.17 | $204.17 | $407.38 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $707.95 | Facility | None | $288.40 | $389.05 | $707.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $363.08 | Professional | None | $194.98 | $218.78 | $363.08 |
Where Pennsylvania sits
The same service costs 4.1 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
$214
HI $832DE $204
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.