How much rates vary
Facilitymedian $174 · 10th to 90th $68 to $813Professionalmedian $186 · 10th to 90th $126 to $269
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 $125.89 Median $141.25 Typical High $229.09 | Facility | None | $125.89 | $141.25 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $229.09 | Professional | None | $123.03 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $60.26 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $24.55 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $28.84 Typical High $34.67 | Professional | 55 · Aftercare only | $18.20 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $22.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $169.82 Typical High $316.23 | Facility | None | $50.12 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $323.59 | Professional | None | $125.89 | $186.21 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $446.68 | Professional | None | $331.13 | $446.68 | $446.68 |
Geisinger Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $323.59 | Facility | None | $147.91 | $186.21 | $323.59 |
Geisinger Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $436.52 | Professional | None | $169.82 | $269.15 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $229.09 | Facility | None | $141.25 | $141.25 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $229.09 | Professional | None | $123.03 | $190.55 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $60.26 | $95.50 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $24.55 | $38.02 | $45.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $28.84 Typical High $34.67 | Professional | 55 · Aftercare only | $18.20 | $28.84 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $407.38 | Professional | None | $177.83 | $177.83 | $407.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $131.83 Typical High $218.78 | Facility | None | $123.03 | $131.83 | $218.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $218.78 | Professional | None | $123.03 | $186.21 | $218.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $288.40 | Professional | None | $134.90 | $190.55 | $288.40 |
Where Pennsylvania sits
The same service costs 8.0 times more in New York than in Maryland. 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.
Physician feeFacility fee
NY $2,495MD $313
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.