How much rates vary
Facilitymedian $126 · 10th to 90th $50 to $1,202Professionalmedian $50 · 10th to 90th $23 to $83
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 $23.44 Median $23.44 Typical High $54.95 | Facility | None | $23.44 | $23.44 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $54.95 | Professional | None | $23.44 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $17.78 Typical High $26.92 | Professional | 52 · Reduced service | $10.72 | $17.78 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.08 Typical High $10.96 | Professional | 53 · Discontinued | $4.27 | $7.08 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $5.37 Typical High $8.13 | Professional | 55 · Aftercare only | $3.16 | $5.37 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $4.68 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.14 | $4.68 | $5.50 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $107.15 | Professional | None | $57.54 | $74.13 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $93.33 | Professional | None | $25.70 | $46.77 | $93.33 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None | $87.10 | $87.10 | $91.20 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $97.72 | Professional | None | $33.11 | $64.57 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $54.95 | Facility | None | $23.44 | $23.44 | $54.95 |
Martin's Point Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $54.95 | Professional | None | $23.44 | $42.66 | $54.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $16.22 Typical High $26.92 | Professional | 52 · Reduced service | $10.72 | $16.22 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.46 Typical High $10.96 | Professional | 53 · Discontinued | $4.27 | $6.46 | $10.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.90 Typical High $8.13 | Professional | 55 · Aftercare only | $3.16 | $4.90 | $8.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $4.68 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.14 | $4.68 | $5.50 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $104.71 | Professional | None | $63.10 | $66.07 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $177.83 Typical High $389.05 | Facility | None | $32.36 | $177.83 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $58.88 | Professional | None | $25.70 | $54.95 | $58.88 |
United Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $1,230.27 | Facility | None | $75.86 | $151.36 | $1,230.27 |
United Setting Professional Modifier None Typical Low $26.30 Median $50.12 Typical High $89.13 | Professional | None | $26.30 | $50.12 | $89.13 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 41st of 51
$52.48
WI $135UT $38.02
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.