How much rates vary
Facilitymedian $38 · 10th to 90th $22 to $5,012Professionalmedian $35 · 10th to 90th $21 to $41
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $22.39 Median $34.67 Typical High $1,412.54 | Facility | None | $22.39 | $34.67 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $38.02 | Professional | None | $20.89 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $14.13 Typical High $19.05 | Professional | 52 · Reduced service | $10.47 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.62 Typical High $7.76 | Professional | 53 · Discontinued | $4.17 | $5.62 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.27 Typical High $5.75 | Professional | 55 · Aftercare only | $3.16 | $4.27 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.82 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.09 | $2.82 | $3.80 |
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 $38.90 Median $40.74 Typical High $40.74 | Professional | None | $38.90 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $30.90 Typical High $40.74 | Professional | None | $16.60 | $30.90 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $47.86 | Professional | None | $38.02 | $41.69 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $1,862.09 | Facility | None | $22.39 | $38.02 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $38.02 | Professional | None | $20.89 | $27.54 | $38.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.80 Typical High $19.05 | Professional | 52 · Reduced service | $10.47 | $13.80 | $19.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.62 Typical High $7.76 | Professional | 53 · Discontinued | $4.17 | $5.62 | $7.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.17 Typical High $5.75 | Professional | 55 · Aftercare only | $3.16 | $4.17 | $5.75 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.75 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.09 | $2.75 | $3.80 |
Oscar Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $22.39 Median $42.66 Typical High $42.66 | Facility | None | $22.39 | $42.66 | $42.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $42.66 | Professional | None | $22.39 | $38.90 | $42.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $42.66 | Professional | None | $21.38 | $30.90 | $42.66 |
Where Pennsylvania sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 21st of 51
$34.67
AK $67.61NJ $25.12
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.