How much rates vary
Facilitymedian $74 · 10th to 90th $62 to $479Professionalmedian $59 · 10th to 90th $38 to $85
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 $38.02 Median $38.02 Typical High $40.74 | Facility | None | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | None | $37.15 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $18.62 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.89 Typical High $6.31 | Professional | 55 · Aftercare only | $5.62 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.98 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.72 | $3.98 | $4.17 |
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 $69.18 Median $85.11 Typical High $85.11 | Professional | None | $69.18 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $426.58 | Professional | None | $58.88 | $58.88 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $147.91 | Professional | None | $81.28 | $125.89 | $147.91 |
Geisinger Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Geisinger Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | None | $52.48 | $61.66 | $87.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Facility | None | $165.96 | $165.96 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $41.69 | Professional | None | $38.02 | $40.74 | $41.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $20.42 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $20.42 | $20.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.13 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $8.13 | $8.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.03 Typical High $6.31 | Professional | 55 · Aftercare only | $5.62 | $6.03 | $6.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.07 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.80 | $4.07 | $4.17 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $128.82 | Professional | None | $77.62 | $123.03 | $128.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $61.66 Median $281.84 Typical High $478.63 | Facility | None | $61.66 | $281.84 | $478.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | None | $61.66 | $61.66 | $81.28 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Facility | None | $107.15 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $66.07 | Professional | None | $38.90 | $42.66 | $66.07 |
Where Pennsylvania sits
The same service costs 2.0 times more in Montana than in South Carolina. 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· 24th of 51
$60.26
MT $93.33SC $46.77
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.