How much rates vary
Facilitymedian $50 · 10th to 90th $39 to $372Professionalmedian $50 · 10th to 90th $37 to $98
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 $46.77 Median $46.77 Typical High $48.98 | Facility | None | $46.77 | $46.77 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | None | $45.71 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $9.12 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $7.59 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $5.13 |
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 $79.43 Median $79.43 Typical High $85.11 | Professional | None | $79.43 | $79.43 | $85.11 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 50 · Both sides | $93.33 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $426.58 | Professional | None | $37.15 | $37.15 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $154.88 | Professional | None | $85.11 | $134.90 | $154.88 |
Geisinger Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Geisinger Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $104.71 | Professional | None | $54.95 | $63.10 | $104.71 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | None | $45.71 | $46.77 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $23.44 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $9.12 | $9.33 | $10.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $7.59 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $7.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $5.13 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $128.82 Typical High $138.04 | Professional | None | $56.23 | $128.82 | $138.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $50.12 Median $223.87 Typical High $389.05 | Facility | None | $50.12 | $223.87 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | None | $50.12 | $50.12 | $97.72 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $125.89 | Facility | None | $32.36 | $38.90 | $125.89 |
United Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $81.28 | Professional | None | $40.74 | $51.29 | $81.28 |
Where Pennsylvania sits
The same service costs 2.1 times more in Arkansas than in Colorado. 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· 37th of 51
$50.12
AR $85.11CO $39.81
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.