How much rates vary
Facilitymedian $316 · 10th to 90th $224 to $1,778Professionalmedian $240 · 10th to 90th $224 to $479
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 $223.87 Median $223.87 Typical High $234.42 | Facility | None | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $245.47 | Professional | None | $218.78 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $24.55 |
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 $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | 50 · Both sides | $446.68 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,398.83 | Professional | None | $229.09 | $229.09 | $2,398.83 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $758.58 | Professional | None | $416.87 | $645.65 | $758.58 |
Geisinger Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Geisinger Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $512.86 | Professional | None | $263.03 | $302.00 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $245.47 | Professional | None | $218.78 | $234.42 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $117.49 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $43.65 | $46.77 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $36.31 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $24.55 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $660.69 | Professional | None | $275.42 | $457.09 | $660.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $239.88 Median $1,071.52 Typical High $1,862.09 | Facility | None | $239.88 | $1,071.52 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $478.63 | Professional | None | $239.88 | $239.88 | $478.63 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $724.44 | Facility | None | $213.80 | $257.04 | $724.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $407.38 | Professional | None | $218.78 | $245.47 | $407.38 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii 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· 45th of 51
$245
HI $562DE $229
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.