How much rates vary
Facilitymedian $525 · 10th to 90th $302 to $2,399Professionalmedian $331 · 10th to 90th $302 to $631
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 $302.00 Median $302.00 Typical High $316.23 | Facility | None | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $331.13 | Professional | None | $295.12 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $154.88 Typical High $165.96 | Professional | 52 · Reduced service | $147.91 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $61.66 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $43.65 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.90 Typical High $33.11 | Professional | 56 · Pre-op care only | $29.51 | $30.90 | $33.11 |
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 $512.86 Median $512.86 Typical High $549.54 | Professional | None | $512.86 | $512.86 | $549.54 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $676.08 Typical High $676.08 | Professional | 50 · Both sides | $602.56 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $3,548.13 | Professional | None | $389.05 | $389.05 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,122.02 | Professional | None | $616.60 | $977.24 | $1,122.02 |
Geisinger Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Geisinger Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $676.08 | Professional | None | $354.81 | $407.38 | $676.08 |
Highmark BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $331.13 | Professional | None | $295.12 | $316.23 | $331.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $147.91 | $158.49 | $165.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $58.88 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $44.67 | $47.86 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $29.51 | $31.62 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $933.25 Typical High $1,000.00 | Professional | None | $407.38 | $933.25 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $2,511.89 | Facility | None | $323.59 | $1,445.44 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $630.96 | Professional | None | $323.59 | $323.59 | $630.96 |
United Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $1,047.13 | Facility | None | $302.00 | $380.19 | $1,047.13 |
United Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $562.34 | Professional | None | $302.00 | $338.84 | $562.34 |
Where Pennsylvania sits
The same service costs 2.3 times more in Hawaii 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
$363
HI $851PA $363
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.