How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $1,479Professionalmedian $78 · 10th to 90th $65 to $151
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 $64.57 Median $501.19 Typical High $1,412.54 | Facility | None | $64.57 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | None | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.61 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $5,011.87 Typical High $56,234.13 | Facility | None | $134.90 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $151.36 | Professional | None | $66.07 | $112.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $177.83 | Facility | None | $47.86 | $128.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $134.90 | Professional | None | $67.61 | $83.18 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $158.49 | Professional | None | $77.62 | $120.23 | $158.49 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $158.49 | Professional | None | $72.44 | $91.20 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $64.57 Median $489.78 Typical High $1,479.11 | Facility | None | $64.57 | $489.78 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $31.62 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.46 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $177.83 | Professional | None | $23.44 | $23.44 | $177.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $562.34 | Facility | None | $69.18 | $100.00 | $562.34 |
UPMC Health Plan Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $562.34 | Professional | None | $69.18 | $100.00 | $562.34 |
United Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $158.49 | Facility | None | $64.57 | $138.04 | $158.49 |
United Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $114.82 | Professional | None | $67.61 | $74.13 | $114.82 |
Where Pennsylvania sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 41st of 51
$77.62
AK $195FL $64.57
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.