How much rates vary
Facilitymedian $74 · 10th to 90th $28 to $4,266Professionalmedian $28 · 10th to 90th $17 to $35
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 $27.54 Median $30.90 Typical High $30.90 | Facility | None | $27.54 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $30.90 | Professional | None | $25.12 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $12.59 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.01 | $5.50 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.17 Typical High $4.68 | Professional | 55 · Aftercare only | $3.80 | $4.17 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.75 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.51 | $2.75 | $3.09 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $79.43 | Professional | None | $47.86 | $63.10 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Geisinger Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $36.31 | Professional | None | $21.88 | $25.12 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $95.50 | Facility | None | $69.18 | $85.11 | $95.50 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $30.90 | Professional | None | $25.12 | $27.54 | $30.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $12.59 | $13.80 | $15.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.01 | $5.50 | $6.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.17 Typical High $4.68 | Professional | 55 · Aftercare only | $3.80 | $4.17 | $4.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.75 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.51 | $2.75 | $3.09 |
Oscar Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $60.26 | Professional | None | $14.45 | $14.45 | $60.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $114.82 Typical High $199.53 | Facility | None | $25.12 | $114.82 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $33.88 | Professional | None | $24.55 | $25.12 | $33.88 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Facility | None | $46.77 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $19.05 | Professional | None | $15.85 | $17.78 | $19.05 |
Where Pennsylvania sits
The same service costs 5.9 times more in Hawaii than in Utah. 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
$27.54
HI $97.72UT $16.60
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.