How much rates vary
Facilitymedian $302 · 10th to 90th $209 to $2,291Professionalmedian $257 · 10th to 90th $174 to $372
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 $173.78 Median $173.78 Typical High $186.21 | Facility | None | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | 55 · Aftercare only | $25.70 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $19.05 |
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 $302.00 Median $323.59 Typical High $354.81 | Professional | None | $302.00 | $323.59 | $354.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 50 · Both sides | $354.81 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,698.24 | Professional | None | $257.04 | $257.04 | $1,698.24 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $630.96 | Professional | None | $346.74 | $549.54 | $630.96 |
Geisinger Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $398.11 | Professional | None | $208.93 | $239.88 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $190.55 | Professional | None | $169.82 | $181.97 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $91.20 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $36.31 | $38.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | 55 · Aftercare only | $25.70 | $27.54 | $28.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.38 | $18.20 | $19.05 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $562.34 | Professional | None | $229.09 | $524.81 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,290.87 | Facility | None | $269.15 | $1,258.93 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $371.54 | Professional | None | $269.15 | $269.15 | $371.54 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $323.59 | Professional | None | $169.82 | $194.98 | $323.59 |
Where Pennsylvania sits
The same service costs 3.0 times more in Iowa 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· 30th of 51
$257
IA $457NY $151
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.