How much rates vary
Facilitymedian $200 · 10th to 90th $78 to $5,012Professionalmedian $195 · 10th to 90th $151 to $339
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 $162.18 Median $199.53 Typical High $15,135.61 | Facility | None | $162.18 | $199.53 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $218.78 | Professional | None | $123.03 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $27.54 Typical High $30.20 | Professional | 55 · Aftercare only | $24.55 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $18.62 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.22 | $18.62 | $19.95 |
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 $173.78 Median $275.42 Typical High $354.81 | Professional | None | $173.78 | $275.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $8,511.38 Typical High $11,748.98 | Facility | None | $6,760.83 | $8,511.38 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $354.81 | Professional | None | $165.96 | $194.98 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | None | $120.23 | $120.23 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $363.08 | Professional | None | $95.50 | $141.25 | $363.08 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $15,135.61 | Facility | None | $199.53 | $199.53 | $15,135.61 |
Martin's Point Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $218.78 | Professional | None | $123.03 | $186.21 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $91.20 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $37.15 | $40.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $27.54 Typical High $30.20 | Professional | 55 · Aftercare only | $24.55 | $27.54 | $30.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $18.62 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.22 | $18.62 | $19.95 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | None | $199.53 | $199.53 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $1,047.13 Typical High $1,659.59 | Facility | None | $169.82 | $1,047.13 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $190.55 | Professional | None | $169.82 | $177.83 | $190.55 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $363.08 | Professional | None | $158.49 | $229.09 | $363.08 |
Where Pennsylvania sits
The same service costs 40.2 times more in Alabama than in Delaware. 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.
Physician feeFacility fee
AL $12,840DE $320
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.