How much rates vary
Facilitymedian $1,905 · 10th to 90th $93 to $6,166Professionalmedian $98 · 10th to 90th $72 to $158
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 $97.72 Median $2,344.23 Typical High $8,317.64 | Facility | None | $97.72 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $104.71 | Professional | None | $69.18 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $70.79 Typical High $75.86 | Professional | 54 · Surgery only | $52.48 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $15.14 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $10.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None | $109.65 | $109.65 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $181.97 | Professional | None | $75.86 | $100.00 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | None | $154.88 | $177.83 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $223.87 | Professional | None | $85.11 | $114.82 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $97.72 | Professional | None | $69.18 | $93.33 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $46.77 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $18.62 | $19.95 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $70.79 Typical High $74.13 | Professional | 54 · Surgery only | $52.48 | $70.79 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $14.79 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $9.77 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $218.78 | Professional | None | $93.33 | $123.03 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $1,862.09 Typical High $3,388.44 | Facility | None | $93.33 | $1,862.09 | $3,388.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $112.20 | Professional | None | $77.62 | $100.00 | $112.20 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $173.78 | Professional | None | $77.62 | $102.33 | $173.78 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska 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· 46th of 51
$97.72
AK $324FL $85.11
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.