How much rates vary
Facilitymedian $107 · 10th to 90th $98 to $141Professionalmedian $117 · 10th to 90th $100 to $141
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 $97.72 Median $102.33 Typical High $141.25 | Facility | None | $97.72 | $102.33 | $141.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $56.23 | Facility | 52 · Reduced service | $48.98 | $50.12 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $16.60 | Facility | 55 · Aftercare only | $14.79 | $15.14 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $11.22 | Facility | 56 · Pre-op care only | $9.77 | $10.00 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | None | $97.72 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $10.00 |
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 $125.89 Median $131.83 Typical High $131.83 | Professional | None | $125.89 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $208.93 | Professional | None | $102.33 | $120.23 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Facility | None | $66.07 | $66.07 | $95.50 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | None | $134.90 | $134.90 | $147.91 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $229.09 | Professional | None | $97.72 | $177.83 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $131.83 | Facility | None | $97.72 | $100.00 | $131.83 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $56.23 | Facility | 52 · Reduced service | $48.98 | $50.12 | $56.23 |
Martin's Point Setting Facility Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $16.60 | Facility | 55 · Aftercare only | $14.79 | $15.14 | $16.60 |
Martin's Point Setting Facility Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $11.22 | Facility | 56 · Pre-op care only | $9.77 | $10.00 | $11.22 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | None | $97.72 | $112.20 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $10.00 |
Optum Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $208.93 | Professional | None | $104.71 | $123.03 | $208.93 |
Where Pennsylvania sits
The same service costs 2.1 times more in Wisconsin than in Ohio. 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· 39th of 51
$115
WI $209OH $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.