How much rates vary
Facilitymedian $363 · 10th to 90th $245 to $1,820Professionalmedian $257 · 10th to 90th $229 to $490
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 $229.09 Median $229.09 Typical High $245.47 | Facility | None | $229.09 | $229.09 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $251.19 | Professional | None | $229.09 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $36.31 Typical High $38.02 | Professional | 55 · Aftercare only | $34.67 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $25.12 |
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 $398.11 Median $398.11 Typical High $426.58 | Professional | None | $398.11 | $398.11 | $426.58 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | 50 · Both sides | $467.74 | $512.86 | $512.86 |
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 $263.03 Median $263.03 Typical High $2,884.03 | Professional | None | $263.03 | $263.03 | $2,884.03 |
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Geisinger Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $524.81 | Professional | None | $275.42 | $316.23 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $251.19 | Professional | None | $229.09 | $245.47 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $123.03 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $36.31 Typical High $38.02 | Professional | 55 · Aftercare only | $34.67 | $36.31 | $38.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $25.12 |
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 $245.47 Median $1,122.02 Typical High $1,949.84 | Facility | None | $245.47 | $1,122.02 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $489.78 | Professional | None | $245.47 | $245.47 | $489.78 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $851.14 | Facility | None | $346.74 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $426.58 | Professional | None | $234.42 | $263.03 | $426.58 |
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
$263
HI $977DE $263
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.