How much rates vary
Facilitymedian $56 · 10th to 90th $25 to $5,012Professionalmedian $26 · 10th to 90th $25 to $45
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 $25.12 Median $30.20 Typical High $1,862.09 | Facility | None | $25.12 | $30.20 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $30.20 | Professional | None | $25.12 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.88 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.13 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.80 Typical High $4.47 | Professional | 55 · Aftercare only | $3.72 | $3.80 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $3.02 |
AmeriHealth Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | None | $29.51 | $29.51 | $30.90 |
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 $25.12 Median $26.30 Typical High $45.71 | Professional | None | $25.12 | $26.30 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $46.77 Typical High $56.23 | Facility | None | $24.55 | $46.77 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $48.98 | Professional | None | $24.55 | $30.20 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $46.77 | Professional | None | $33.88 | $42.66 | $46.77 |
Geisinger Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $79.43 | Professional | None | $26.30 | $40.74 | $79.43 |
Independence Blue Cross Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $52.48 | Professional | None | $29.51 | $29.51 | $52.48 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $1,862.09 | Facility | None | $30.20 | $30.20 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $30.20 | Professional | None | $25.12 | $25.70 | $30.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.88 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $12.88 | $15.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.13 | $6.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.80 Typical High $4.47 | Professional | 55 · Aftercare only | $3.72 | $3.80 | $4.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $3.02 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $77.62 | Professional | None | $33.11 | $41.69 | $77.62 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $39.81 Typical High $39.81 | Facility | None | $25.12 | $39.81 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $39.81 | Professional | None | $25.12 | $39.81 | $39.81 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $50.12 | Professional | None | $22.39 | $26.92 | $50.12 |
Where Pennsylvania sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 50th of 51
$26.30
MN $63.10AR $25.70
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.