How much rates vary
Facilitymedian $398 · 10th to 90th $251 to $1,862Professionalmedian $263 · 10th to 90th $234 to $501
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 $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $257.04 | Professional | None | $229.09 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $123.03 | $128.82 |
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 $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $34.67 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $25.70 |
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 $478.63 Median $524.81 Typical High $524.81 | Professional | 50 · Both sides | $478.63 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $2,884.03 | Professional | None | $295.12 | $295.12 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $912.01 | Professional | None | $489.78 | $776.25 | $912.01 |
Geisinger Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $537.03 | Professional | None | $281.84 | $323.59 | $537.03 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $257.04 | Professional | None | $234.42 | $251.19 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $125.89 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $50.12 | $51.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $23.44 | $25.12 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $758.58 Typical High $794.33 | Professional | None | $323.59 | $758.58 | $794.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $1,148.15 Typical High $1,949.84 | Facility | None | $251.19 | $1,148.15 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $501.19 | Professional | None | $251.19 | $251.19 | $501.19 |
United Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $870.96 | Facility | None | $257.04 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $436.52 | Professional | None | $239.88 | $263.03 | $436.52 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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
$288
HI $708DC $282
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.