How much rates vary
Facilitymedian $162 · 10th to 90th $115 to $912Professionalmedian $123 · 10th to 90th $115 to $245
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 $114.82 Median $114.82 Typical High $123.03 | Facility | None | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $125.89 | Professional | None | $112.20 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $16.98 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.02 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.22 | $12.02 | $12.59 |
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 $194.98 Median $194.98 Typical High $208.93 | Professional | None | $194.98 | $194.98 | $208.93 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 50 · Both sides | $234.42 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $1,380.38 | Professional | None | $117.49 | $117.49 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $446.68 | Professional | None | $245.47 | $380.19 | $446.68 |
Geisinger Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Geisinger Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $263.03 | Professional | None | $138.04 | $158.49 | $263.03 |
Highmark BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | None | $114.82 | $123.03 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $61.66 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $24.55 | $25.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $18.20 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.48 | $12.30 | $12.59 |
Oscar Health Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $389.05 | Professional | None | $158.49 | $269.15 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $562.34 Typical High $954.99 | Facility | None | $123.03 | $562.34 | $954.99 |
UPMC Health Plan Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $245.47 | Professional | None | $123.03 | $123.03 | $245.47 |
United Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $426.58 | Facility | None | $104.71 | $128.82 | $426.58 |
United Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $213.80 | Professional | None | $117.49 | $128.82 | $213.80 |
Where Pennsylvania sits
The same service costs 2.8 times more in Minnesota 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· 49th of 51
$126
MN $331DE $117
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.