How much rates vary
Facilitymedian $65 · 10th to 90th $55 to $95Professionalmedian $69 · 10th to 90th $56 to $107
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 $54.95 Median $60.26 Typical High $81.28 | Facility | None | $54.95 | $60.26 | $81.28 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $31.62 | Facility | 52 · Reduced service | $27.54 | $28.18 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $9.55 | Facility | 55 · Aftercare only | $8.32 | $8.51 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $6.31 | Facility | 56 · Pre-op care only | $5.50 | $5.62 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $9.55 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.50 | $5.62 | $6.46 |
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 $77.62 Median $77.62 Typical High $147.91 | Professional | None | $77.62 | $77.62 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | None | $61.66 | $91.20 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $147.91 | Professional | None | $89.13 | $125.89 | $147.91 |
Martin's Point Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $81.28 | Facility | None | $54.95 | $58.88 | $81.28 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $31.62 | Facility | 52 · Reduced service | $27.54 | $28.18 | $31.62 |
Martin's Point Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $9.55 | Facility | 55 · Aftercare only | $8.32 | $8.51 | $9.55 |
Martin's Point Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $6.31 | Facility | 56 · Pre-op care only | $5.50 | $5.62 | $6.31 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $8.91 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $8.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.50 | $5.62 | $5.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $51.29 Median $74.13 Typical High $87.10 | Facility | None | $51.29 | $74.13 | $87.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $87.10 | Professional | None | $75.86 | $79.43 | $87.10 |
United Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $128.82 | Professional | None | $69.18 | $85.11 | $128.82 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Utah. 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· 43rd of 51
$69.18
AK $148UT $56.23
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.