How much rates vary
Facilitymedian $174 · 10th to 90th $69 to $5,012Professionalmedian $69 · 10th to 90th $35 to $98
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 $75.86 Median $85.11 Typical High $85.11 | Facility | None | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $85.11 | Professional | None | $58.88 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $29.51 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.14 Typical High $16.98 | Professional | 53 · Discontinued | $11.75 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $8.91 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.59 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.89 | $7.59 | $8.51 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $138.04 | Professional | None | $81.28 | $107.15 | $138.04 |
Geisinger Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Geisinger Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $100.00 | Professional | None | $60.26 | $75.86 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Martin's Point Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $85.11 | Professional | None | $64.57 | $75.86 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $32.36 | $38.02 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $16.98 | Professional | 53 · Discontinued | $12.88 | $15.14 | $16.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $9.55 | $11.48 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.59 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.46 | $7.59 | $8.51 |
Oscar Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $104.71 | Professional | None | $7.59 | $7.59 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $316.23 Typical High $549.54 | Facility | None | $69.18 | $316.23 | $549.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $93.33 | Professional | None | $67.61 | $69.18 | $93.33 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $52.48 | Professional | None | $43.65 | $48.98 | $52.48 |
Where Pennsylvania sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 13th of 51
$69.18
MT $100AL $36.31
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.