How much rates vary
Facilitymedian $479 · 10th to 90th $44 to $1,413Professionalmedian $123 · 10th to 90th $38 to $214
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 $36.31 Median $478.63 Typical High $1,258.93 | Facility | None | $36.31 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $114.82 | Professional | None | $36.31 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $39.81 Typical High $56.23 | Professional | 52 · Reduced service | $18.20 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $15.85 Typical High $22.91 | Professional | 53 · Discontinued | $7.24 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $11.75 Typical High $16.98 | Professional | 55 · Aftercare only | $5.50 | $11.75 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $8.13 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.63 | $8.13 | $11.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $691.83 Median $5,011.87 Typical High $56,234.13 | Facility | None | $691.83 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $229.09 | Professional | None | $123.03 | $190.55 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $575.44 Typical High $851.14 | Facility | None | $245.47 | $575.44 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $120.23 Typical High $169.82 | Professional | None | $38.90 | $120.23 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $281.84 | Professional | None | $158.49 | $204.17 | $281.84 |
Geisinger Setting Professional Modifier None Typical Low $45.71 Median $144.54 Typical High $234.42 | Professional | None | $45.71 | $144.54 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $478.63 Typical High $870.96 | Facility | None | $36.31 | $478.63 | $870.96 |
Martin's Point Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $114.82 | Professional | None | $36.31 | $81.28 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $39.81 Typical High $56.23 | Professional | 52 · Reduced service | $18.20 | $39.81 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $15.85 Typical High $22.91 | Professional | 53 · Discontinued | $7.24 | $15.85 | $22.91 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $11.75 Typical High $16.98 | Professional | 55 · Aftercare only | $5.50 | $11.75 | $16.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $8.13 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.63 | $8.13 | $11.48 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $263.03 | Professional | None | $131.83 | $131.83 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $138.04 | Facility | None | $43.65 | $44.67 | $138.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $123.03 Typical High $138.04 | Professional | None | $43.65 | $123.03 | $138.04 |
United Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $724.44 | Facility | None | $295.12 | $616.60 | $724.44 |
United Setting Professional Modifier None Typical Low $40.74 Median $100.00 Typical High $162.18 | Professional | None | $40.74 | $100.00 | $162.18 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin than in Washington, DC. 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· 23rd of 51
$123
WI $182DC $52.48
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.