How much rates vary
Facilitymedian $646 · 10th to 90th $263 to $4,266Professionalmedian $263 · 10th to 90th $178 to $363
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 $281.84 Median $316.23 Typical High $588.84 | Facility | None | $281.84 | $316.23 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $316.23 | Professional | None | $257.04 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $28.18 | $31.62 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $691.83 | Professional | None | $416.87 | $549.54 | $691.83 |
Geisinger Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Geisinger Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $371.54 | Professional | None | $223.87 | $288.40 | $371.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $588.84 | Facility | None | $316.23 | $316.23 | $588.84 |
Martin's Point Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $316.23 | Professional | None | $257.04 | $281.84 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $141.25 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $57.54 | $64.57 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $47.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $28.18 | $31.62 |
Oscar Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $524.81 | Professional | None | $257.04 | $257.04 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $263.03 Median $1,174.90 Typical High $2,041.74 | Facility | None | $263.03 | $1,174.90 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $346.74 | Professional | None | $251.19 | $263.03 | $346.74 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Facility | None | $501.19 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $199.53 | Professional | None | $165.96 | $181.97 | $199.53 |
Where Pennsylvania sits
The same service costs 4.4 times more in Hawaii 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
$269
HI $776FL $178
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.