How much rates vary
Facilitymedian $2,455 · 10th to 90th $479 to $6,607Professionalmedian $120 · 10th to 90th $110 to $245
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 $537.03 Median $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $891.25 | Professional | None | $109.65 | $117.49 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 54 · Surgery only | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $12.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $239.88 | Professional | None | $109.65 | $128.82 | $239.88 |
Geisinger Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $1,071.52 | Professional | None | $109.65 | $117.49 | $1,071.52 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 54 · Surgery only | $81.28 | $81.28 | $89.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $17.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $12.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $120.23 | Facility | None | $104.71 | $104.71 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | None | $104.71 | $120.23 | $120.23 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $5,248.07 | Facility | None | $933.25 | $2,570.40 | $5,248.07 |
United Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | None | $123.03 | $154.88 | $239.88 |
Where Pennsylvania sits
The same service costs 37.2 times more in Oklahoma than in New York. 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
$245
OK $4,266NY $115
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.