How much rates vary
Facilitymedian $417 · 10th to 90th $263 to $2,570Professionalmedian $355 · 10th to 90th $234 to $525
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 $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $257.04 | Professional | None | $229.09 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $35.48 Typical High $38.90 | Professional | 55 · Aftercare only | $34.67 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $23.44 | $25.70 |
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 $416.87 Median $524.81 Typical High $524.81 | Professional | None | $416.87 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $2,398.83 | Professional | None | $354.81 | $354.81 | $2,398.83 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $891.25 | Professional | None | $489.78 | $776.25 | $891.25 |
Geisinger Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $537.03 | Professional | None | $275.42 | $323.59 | $537.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $257.04 | Professional | None | $229.09 | $251.19 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $50.12 | $51.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $34.67 | $37.15 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $741.31 | Professional | None | $186.21 | $186.21 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $2,570.40 | Facility | None | $363.08 | $575.44 | $2,570.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $436.52 | Professional | None | $234.42 | $263.03 | $436.52 |
Where Pennsylvania sits
The same service costs 2.5 times more in Montana than in New York. 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· 18th of 51
$363
MT $550NY $219
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.