How much rates vary
Facilitymedian $1,318 · 10th to 90th $741 to $5,012Professionalmedian $832 · 10th to 90th $741 to $1,585
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 $741.31 Median $741.31 Typical High $776.25 | Facility | None | $741.31 | $741.31 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $812.83 | Professional | None | $724.44 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $407.38 | Professional | 52 · Reduced service | $363.08 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | 53 · Discontinued | $144.54 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $81.28 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $81.28 |
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 $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,258.93 | $1,348.96 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Professional | 50 · Both sides | $1,479.11 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $9,120.11 | Professional | None | $977.24 | $977.24 | $9,120.11 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,454.71 | $2,818.38 |
Geisinger Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Geisinger Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,698.24 | Professional | None | $870.96 | $1,000.00 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Martin's Point Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $812.83 | Professional | None | $741.31 | $776.25 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $389.05 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $389.05 | $407.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $162.18 | Professional | 53 · Discontinued | $147.91 | $154.88 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $120.23 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $120.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $81.28 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $81.28 |
Oscar Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,737.80 | $2,511.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $794.33 Median $3,630.78 Typical High $6,165.95 | Facility | None | $794.33 | $3,630.78 | $6,165.95 |
UPMC Health Plan Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,584.89 | Professional | None | $794.33 | $794.33 | $1,584.89 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,691.53 | Facility | None | $645.65 | $831.76 | $2,691.53 |
United Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,380.38 | Professional | None | $741.31 | $831.76 | $1,380.38 |
Where Pennsylvania sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 51st of 51
$891
MT $2,239PA $891
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.