How much rates vary
Facilitymedian $661 · 10th to 90th $123 to $5,012Professionalmedian $112 · 10th to 90th $59 to $141
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 $112.20 Median $125.89 Typical High $501.19 | Facility | None | $112.20 | $125.89 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | None | $102.33 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $18.62 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.22 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.23 | $11.22 | $12.59 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $269.15 | Professional | None | $158.49 | $208.93 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | None | $87.10 | $87.10 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $891.25 Typical High $1,096.48 | Facility | None | $302.00 | $891.25 | $1,096.48 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $501.19 Typical High $501.19 | Facility | None | $125.89 | $501.19 | $501.19 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | None | $102.33 | $112.20 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $56.23 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $22.39 | $25.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $18.62 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $18.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.22 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.23 | $11.22 | $12.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $724.44 Typical High $1,230.27 | Facility | None | $123.03 | $724.44 | $1,230.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | None | $123.03 | $123.03 | $134.90 |
United Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | None | $67.61 | $70.79 | $77.62 |
Where Pennsylvania sits
The same service costs 3.0 times more in California 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· 23rd of 51
$112
CA $178NY $58.88
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.