How much rates vary
Facilitymedian $490 · 10th to 90th $447 to $3,631Professionalmedian $355 · 10th to 90th $316 to $676
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 $316.23 Median $316.23 Typical High $331.13 | Facility | None | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $346.74 | Professional | None | $309.03 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 55 · Aftercare only | $46.77 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $30.90 | $33.11 | $34.67 |
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 $537.03 Median $575.44 Typical High $707.95 | Professional | None | $537.03 | $575.44 | $707.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | 50 · Both sides | $630.96 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $3,890.45 | Professional | None | $331.13 | $331.13 | $3,890.45 |
Emblem Health Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,202.26 | Professional | None | $660.69 | $1,047.13 | $1,202.26 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Geisinger Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $724.44 | Professional | None | $371.54 | $436.52 | $724.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | None | $524.81 | $524.81 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $346.74 | Professional | None | $309.03 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $158.49 | $165.96 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $63.10 | $66.07 | $69.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 55 · Aftercare only | $46.77 | $50.12 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $31.62 | $33.11 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $1,000.00 Typical High $1,071.52 | Professional | None | $436.52 | $1,000.00 | $1,071.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $489.78 Median $2,238.72 Typical High $3,801.89 | Facility | None | $489.78 | $2,238.72 | $3,801.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $676.08 | Professional | None | $489.78 | $489.78 | $676.08 |
United Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,148.15 | Facility | None | $467.74 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $588.84 | Professional | None | $316.23 | $354.81 | $588.84 |
Where Pennsylvania sits
The same service costs 2.8 times more in Iowa 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
$355
IA $933DE $331
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.