How much rates vary
Facilitymedian $257 · 10th to 90th $162 to $1,023Professionalmedian $174 · 10th to 90th $151 to $324
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 $151.36 Median $151.36 Typical High $162.18 | Facility | None | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $165.96 | Professional | None | $151.36 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 55 · Aftercare only | $22.91 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $16.60 | Professional | 56 · Pre-op care only | $15.14 | $16.22 | $16.60 |
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 $257.04 Median $257.04 Typical High $275.42 | Professional | None | $257.04 | $257.04 | $275.42 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | 50 · Both sides | $309.03 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $1,819.70 | Professional | None | $177.83 | $177.83 | $1,819.70 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $776.25 | Professional | None | $416.87 | $660.69 | $776.25 |
Geisinger Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $346.74 | Professional | None | $177.83 | $208.93 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $165.96 | Professional | None | $151.36 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $79.43 | $83.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $32.36 | $33.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 55 · Aftercare only | $22.91 | $23.99 | $25.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $16.60 | Professional | 56 · Pre-op care only | $15.14 | $16.22 | $16.60 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $645.65 Typical High $676.08 | Professional | None | $275.42 | $645.65 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $416.87 Typical High $1,148.15 | Facility | None | $162.18 | $416.87 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | None | $162.18 | $162.18 | $323.59 |
United Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $549.54 | Facility | None | $169.82 | $173.78 | $549.54 |
United Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $281.84 | Professional | None | $151.36 | $169.82 | $281.84 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wisconsin 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· 47th of 51
$178
WI $407CO $178
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.