How much rates vary
Facilitymedian $708 · 10th to 90th $407 to $7,413Professionalmedian $525 · 10th to 90th $339 to $708
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 $338.84 Median $354.81 Typical High $691.83 | Facility | None | $338.84 | $354.81 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $371.54 | Professional | None | $331.13 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $48.98 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.88 | $37.15 |
AmeriHealth Setting Facility Modifier None Typical Low $8,912.51 Median $14,125.38 Typical High $23,988.33 | Facility | None | $8,912.51 | $14,125.38 | $23,988.33 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | None | $575.44 | $575.44 | $616.60 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $676.08 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $3,715.35 | Professional | None | $562.34 | $562.34 | $3,715.35 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,288.25 | Professional | None | $707.95 | $1,096.48 | $1,288.25 |
Geisinger Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $758.58 | Professional | None | $398.11 | $457.09 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $4,897.79 | Facility | None | $2,754.23 | $3,235.94 | $4,897.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $23,988.33 | Facility | None | $8,912.51 | $11,220.18 | $23,988.33 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $691.83 | Facility | None | $338.84 | $354.81 | $691.83 |
Martin's Point Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $371.54 | Professional | None | $331.13 | $354.81 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $177.83 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $70.79 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $54.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $467.74 Median $776.25 Typical High $1,122.02 | Professional | None | $467.74 | $776.25 | $1,122.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $4,786.30 | Facility | None | $524.81 | $2,818.38 | $4,786.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $630.96 | Professional | None | $338.84 | $371.54 | $630.96 |
Where Pennsylvania sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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· 34th of 51
$525
MT $1,047DC $417
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.