How much rates vary
Facilitymedian $316 · 10th to 90th $78 to $5,012Professionalmedian $89 · 10th to 90th $58 to $155
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 $63.10 Median $3,630.78 Typical High $8,511.38 | Facility | None | $63.10 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $109.65 | Professional | None | $57.54 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $36.31 Typical High $51.29 | Professional | 52 · Reduced service | $28.84 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $20.42 | Professional | 53 · Discontinued | $11.48 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 54 · Surgery only | $42.66 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.96 Typical High $15.49 | Professional | 55 · Aftercare only | $8.71 | $10.96 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $10.23 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $10.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $56,234.13 | Professional | None | $85.11 | $141.25 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $2,691.53 | Facility | None | $457.09 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $158.49 | Professional | None | $51.29 | $87.10 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $245.47 | Professional | None | $70.79 | $125.89 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $102.33 Median $3,630.78 Typical High $8,709.64 | Facility | None | $102.33 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $109.65 | Professional | None | $57.54 | $91.20 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $36.31 Typical High $51.29 | Professional | 52 · Reduced service | $28.84 | $36.31 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $20.42 | Professional | 53 · Discontinued | $11.48 | $14.45 | $20.42 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 54 · Surgery only | $42.66 | $53.70 | $75.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.96 Typical High $15.49 | Professional | 55 · Aftercare only | $8.71 | $10.96 | $15.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $10.23 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $10.23 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $234.42 | Professional | None | $74.13 | $74.13 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $436.52 | Facility | None | $83.18 | $239.88 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $190.55 | Professional | None | $52.48 | $85.11 | $190.55 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $52.48 Median $87.10 Typical High $165.96 | Professional | None | $52.48 | $87.10 | $165.96 |
Where Pennsylvania sits
The same service costs 3.7 times more in Wisconsin 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· 40th of 51
$93.33
WI $282FL $75.86
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.