How much rates vary
Facilitymedian $302 · 10th to 90th $69 to $1,660Professionalmedian $74 · 10th to 90th $63 to $145
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 $69.18 Typical High $69.18 | Facility | None | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | None | $63.10 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.23 Typical High $10.96 | Professional | 55 · Aftercare only | $9.55 | $10.23 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.92 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.31 | $6.92 | $7.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $147.91 | Professional | None | $70.79 | $114.82 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $1,412.54 | Facility | None | $354.81 | $467.74 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $144.54 | Professional | None | $69.18 | $79.43 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | None | $95.50 | $95.50 | $102.33 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $70.79 | Professional | None | $63.10 | $69.18 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $34.67 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $13.80 | $14.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.23 Typical High $10.72 | Professional | 55 · Aftercare only | $9.55 | $10.23 | $10.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.31 | $6.92 | $7.08 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $275.42 | Professional | None | $77.62 | $165.96 | $275.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,412.54 | Facility | None | $77.62 | $158.49 | $1,412.54 |
United Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $144.54 | Professional | None | $67.61 | $81.28 | $144.54 |
Where Pennsylvania sits
The same service costs 4.5 times more in Wisconsin than in Kentucky. 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· 47th of 51
$75.86
WI $288KY $64.57
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.