How much rates vary
Facilitymedian $389 · 10th to 90th $363 to $3,020Professionalmedian $275 · 10th to 90th $245 to $525
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 $245.47 Median $245.47 Typical High $257.04 | Facility | None | $245.47 | $245.47 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $269.15 | Professional | None | $239.88 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.99 | $25.12 | $26.92 |
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 $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $549.54 Typical High $549.54 | Professional | 50 · Both sides | $489.78 | $549.54 | $549.54 |
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 $2,754.23 | Professional | None | $263.03 | $263.03 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $933.25 | Professional | None | $512.86 | $812.83 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Geisinger Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $562.34 | Professional | None | $288.40 | $331.13 | $562.34 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $269.15 | Professional | None | $239.88 | $257.04 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $128.82 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $51.29 | $53.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | 55 · Aftercare only | $36.31 | $38.90 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $831.76 | Professional | None | $549.54 | $776.25 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $1,778.28 Typical High $3,019.95 | Facility | None | $389.05 | $1,778.28 | $3,019.95 |
UPMC Health Plan Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $812.83 | Facility | None | $676.08 | $676.08 | $812.83 |
United Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $457.09 | Professional | None | $245.47 | $275.42 | $457.09 |
Where Pennsylvania sits
The same service costs 2.2 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· 47th of 51
$275
MT $575DE $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.