How much rates vary
Facilitymedian $117 · 10th to 90th $107 to $5,012Professionalmedian $112 · 10th to 90th $105 to $224
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 $104.71 Median $117.49 Typical High $1,862.09 | Facility | None | $104.71 | $117.49 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | None | $102.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.85 Typical High $17.38 | Professional | 55 · Aftercare only | $15.14 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.72 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.23 | $10.72 | $11.75 |
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 $107.15 Median $154.88 Typical High $229.09 | Professional | None | $107.15 | $154.88 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $512.86 | Professional | None | $100.00 | $117.49 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $190.55 | Professional | None | $151.36 | $173.78 | $190.55 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | None | $102.33 | $123.03 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $1,862.09 | Facility | None | $117.49 | $117.49 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | None | $102.33 | $107.15 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $53.70 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $21.38 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.85 Typical High $17.38 | Professional | 55 · Aftercare only | $15.14 | $15.85 | $17.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.72 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.23 | $10.72 | $11.75 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $229.09 | Professional | None | $117.49 | $229.09 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Facility | None | $107.15 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $213.80 | Professional | None | $93.33 | $114.82 | $213.80 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 40th of 51
$112
AK $282TX $100
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.