How much rates vary
Facilitymedian $302 · 10th to 90th $65 to $1,660Professionalmedian $49 · 10th to 90th $43 to $95
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 $42.66 Median $45.71 Typical High $45.71 | Facility | None | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | None | $42.66 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $8.51 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.92 Typical High $7.08 | Professional | 55 · Aftercare only | $6.31 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.57 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.27 | $4.57 | $4.79 |
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 $46.77 Median $75.86 Typical High $100.00 | Professional | None | $46.77 | $75.86 | $100.00 |
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 $45.71 Median $52.48 Typical High $95.50 | Professional | None | $45.71 | $52.48 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | None | $63.10 | $63.10 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $46.77 | Professional | None | $42.66 | $45.71 | $46.77 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $22.91 | $23.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.12 | $9.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.92 Typical High $7.08 | Professional | 55 · Aftercare only | $6.31 | $6.92 | $7.08 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.57 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.27 | $4.57 | $4.68 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $181.97 | Professional | None | $51.29 | $109.65 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
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 $44.67 Median $53.70 Typical High $97.72 | Professional | None | $44.67 | $53.70 | $97.72 |
Where Pennsylvania sits
The same service costs 4.7 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
$52.48
WI $200KY $42.66
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.