How much rates vary
Facilitymedian $87 · 10th to 90th $42 to $4,266Professionalmedian $50 · 10th to 90th $38 to $100
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 $41.69 Median $93.33 Typical High $2,818.38 | Facility | None | $41.69 | $93.33 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $51.29 | Professional | None | $38.90 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.17 Typical High $6.31 | Professional | 55 · Aftercare only | $5.89 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.89 | $4.17 | $4.17 |
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 $38.02 Median $67.61 Typical High $102.33 | Professional | None | $38.02 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | None | $34.67 | $50.12 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $93.33 | Professional | None | $45.71 | $64.57 | $93.33 |
Geisinger Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $95.50 | Professional | None | $42.66 | $56.23 | $95.50 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $3,090.30 | Facility | None | $41.69 | $41.69 | $3,090.30 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $51.29 | Professional | None | $39.81 | $41.69 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $19.95 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.17 Typical High $6.31 | Professional | 55 · Aftercare only | $6.03 | $6.17 | $6.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.98 | $4.17 | $4.17 |
Oscar Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | None | $54.95 | $54.95 | $114.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $79.43 Typical High $117.49 | Facility | None | $40.74 | $79.43 | $117.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $58.88 | Professional | None | $40.74 | $52.48 | $58.88 |
United Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $102.33 | Professional | None | $36.31 | $54.95 | $102.33 |
Where Pennsylvania sits
The same service costs 2.6 times more in Nebraska 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· 30th of 51
$51.29
NE $93.33TX $36.31
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.