How much rates vary
Facilitymedian $158 · 10th to 90th $138 to $501Professionalmedian $138 · 10th to 90th $138 to $170
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 $138.04 Median $141.25 Typical High $354.81 | Facility | None | $138.04 | $141.25 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None | $138.04 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Capital Blue Cross Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $173.78 | Facility | None | $128.82 | $144.54 | $173.78 |
Capital Blue Cross Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $229.09 Typical High $524.81 | Facility | None | $138.04 | $229.09 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Geisinger Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Geisinger Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | None | $204.17 | $204.17 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $275.42 | Facility | None | $158.49 | $158.49 | $275.42 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $354.81 | Facility | None | $138.04 | $141.25 | $354.81 |
Martin's Point Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None | $138.04 | $138.04 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $169.82 | Facility | None | $147.91 | $158.49 | $169.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | None | $147.91 | $147.91 | $169.82 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $245.47 | Professional | None | $131.83 | $141.25 | $245.47 |
Where Pennsylvania sits
The same service costs 5.5 times more in Texas than in Oregon. 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· 48th of 51
$138
TX $759OR $138
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.