How much rates vary
Facilitymedian $794 · 10th to 90th $316 to $5,012Professionalmedian $316 · 10th to 90th $219 to $389
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 $346.74 Median $389.05 Typical High $389.05 | Facility | None | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $389.05 | Professional | None | $316.23 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $38.90 | Professional | 56 · Pre-op care only | $31.62 | $34.67 | $38.90 |
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 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $831.76 | Professional | None | $501.19 | $660.69 | $831.76 |
Geisinger Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Geisinger Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $457.09 | Professional | None | $269.15 | $346.74 | $457.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $389.05 | Professional | None | $316.23 | $346.74 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $173.78 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $69.18 | $77.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $38.90 | Professional | 56 · Pre-op care only | $31.62 | $34.67 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $1,445.44 Typical High $2,454.71 | Facility | None | $316.23 | $1,445.44 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $426.58 | Professional | None | $309.03 | $316.23 | $426.58 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Facility | None | $602.56 | $602.56 | $724.44 |
United Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $239.88 | Professional | None | $199.53 | $223.87 | $239.88 |
Where Pennsylvania sits
The same service costs 2.8 times more in Montana than in Florida. 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· 29th of 51
$316
MT $603FL $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.