How much rates vary
Facilitymedian $708 · 10th to 90th $468 to $3,631Professionalmedian $603 · 10th to 90th $468 to $1,047
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 $467.74 Median $467.74 Typical High $501.19 | Facility | None | $467.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | None | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $69.18 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $51.29 |
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 $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | None | $851.14 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $4,265.80 | Professional | None | $602.56 | $602.56 | $4,265.80 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,548.82 | Professional | None | $851.14 | $1,348.96 | $1,548.82 |
Geisinger Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Geisinger Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $1,071.52 | Professional | None | $562.34 | $645.65 | $1,071.52 |
Martin's Point Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Martin's Point Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | None | $467.74 | $467.74 | $512.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $229.09 | $234.42 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $69.18 | $70.79 | $77.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $51.29 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $1,288.25 Typical High $1,380.38 | Professional | None | $562.34 | $1,288.25 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $489.78 Median $2,238.72 Typical High $3,801.89 | Facility | None | $489.78 | $2,238.72 | $3,801.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $1,000.00 | Professional | None | $489.78 | $489.78 | $1,000.00 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,288.25 | Facility | None | $398.11 | $1,071.52 | $1,288.25 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $812.83 | Professional | None | $416.87 | $524.81 | $812.83 |
Where Pennsylvania sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 28th of 51
$603
IA $891FL $447
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.