How much rates vary
Facilitymedian $85 · 10th to 90th $42 to $617Professionalmedian $69 · 10th to 90th $42 to $98
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 $41.69 Median $41.69 Typical High $70.79 | Facility | None | $41.69 | $41.69 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $72.44 | Professional | None | $41.69 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $19.95 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $7.94 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.12 Typical High $10.72 | Professional | 55 · Aftercare only | $5.89 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.98 | $6.17 | $7.08 |
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 $79.43 Median $79.43 Typical High $97.72 | Professional | None | $79.43 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $100.00 | Facility | None | $38.90 | $54.95 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $125.89 | Professional | None | $46.77 | $72.44 | $125.89 |
Emblem Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | None | $117.49 | $117.49 | $125.89 |
Geisinger Setting Facility Modifier None Typical Low $37.15 Median $45.71 Typical High $81.28 | Facility | None | $37.15 | $45.71 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $93.33 Typical High $141.25 | Professional | None | $53.70 | $93.33 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $70.79 | Facility | None | $41.69 | $41.69 | $70.79 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $72.44 | Professional | None | $41.69 | $63.10 | $72.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $19.05 | $30.90 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $7.59 | $12.30 | $14.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $9.12 Typical High $10.72 | Professional | 55 · Aftercare only | $5.75 | $9.12 | $10.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $6.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.80 | $6.17 | $7.08 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $141.25 | Professional | None | $91.20 | $93.33 | $141.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $407.38 | Facility | None | $75.86 | $177.83 | $407.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $87.10 | Professional | None | $46.77 | $85.11 | $87.10 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $117.49 | Professional | None | $45.71 | $70.79 | $117.49 |
Where Pennsylvania sits
The same service costs 3.1 times more in Wisconsin 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· 44th of 51
$69.18
WI $204FL $66.07
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.